Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $46.22 / $105.26	Facility		$18.85	$46.22	$105.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $18.04 / $28.39	Professional		$14.83	$18.04	$28.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $12.03	Professional		$12.03	$12.03	$12.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $35.09 / $95.52	Facility		$21.05	$35.09	$95.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $41.52 / $164.83	Professional		$18.05	$41.52	$164.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $36.36 / $58.64	Facility		$13.88	$36.36	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $22.40 / $29.59	Professional		$12.56	$22.40	$29.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $29.47 / $62.68	Facility		$20.05	$29.47	$62.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $35.54 / $62.68	Professional		$20.05	$35.54	$62.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $19.62 / $75.00	Professional		$17.84	$19.62	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $42.11	Facility		$20.05	$20.05	$42.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $35.09 / $60.15	Facility		$20.05	$35.09	$60.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $33.08 / $55.14	Facility		$21.05	$33.08	$55.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $39.03 / $46.44	Professional		$23.38	$39.03	$46.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $22.46	Professional		$8.42	$8.42	$22.46