Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $108.30 / $219.73	Facility		$32.97	$108.30	$219.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $25.14 / $46.67	Professional		$18.60	$25.14	$46.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $29.83 / $29.83	Professional		$29.83	$29.83	$29.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $61.41 / $167.46	Facility		$36.84	$61.41	$167.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $72.66 / $288.64	Professional		$31.58	$72.66	$288.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $71.84 / $104.43	Facility		$24.31	$71.84	$104.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $39.29 / $51.60	Professional		$21.84	$39.29	$51.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $51.35 / $108.42	Facility		$35.09	$51.35	$108.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $61.61 / $108.42	Professional		$35.09	$61.61	$108.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $34.35 / $75.00	Professional		$31.23	$34.35	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $73.69	Facility		$35.09	$35.09	$73.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $61.41 / $105.27	Facility		$35.09	$61.41	$105.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $31.58 / $31.58	Professional		$31.58	$31.58	$31.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $57.90 / $96.50	Facility		$36.84	$57.90	$96.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $68.02 / $81.27	Professional		$40.92	$68.02	$81.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.07 / $42.11	Professional		$14.74	$20.07	$42.11