Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $23.42 / $33.04	Professional		$18.91	$23.42	$33.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $23.79 / $51.78	Professional		$12.44	$23.79	$51.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.45 / $113.59 / $113.59	Facility		$61.45	$113.59	$113.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $55.73 / $204.23	Professional		$30.03	$55.73	$204.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.48 / $45.57	Professional		$15.85	$26.48	$45.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $50.14 / $79.79	Facility		$31.00	$50.14	$79.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $54.09 / $81.00	Professional		$39.04	$54.09	$81.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $15.58 / $16.44	Professional		$14.17	$15.58	$16.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $48.24 / $61.64	Facility		$39.60	$48.24	$61.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $52.33 / $62.45	Professional		$32.61	$52.33	$62.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $43.29 / $55.73	Professional		$30.03	$43.29	$55.73
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $22.40 / $53.76	Professional		$15.81	$22.40	$53.76