Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $52.33 / $415.15	Professional		$21.95	$52.33	$415.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.62 / $71.78	Professional		$17.32	$18.62	$71.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $269.79 / $269.79	Facility		$112.03	$269.79	$269.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $88.23 / $747.34	Professional		$48.05	$88.23	$747.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $38.94 / $68.80	Professional		$29.59	$38.94	$68.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $96.96 / $136.85	Facility		$56.86	$96.96	$136.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $96.04 / $136.85	Professional		$62.62	$96.04	$136.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $53.37 / $93.53	Professional		$9.03	$53.37	$93.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $70.34 / $115.42	Facility		$57.75	$70.34	$115.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $82.50 / $98.42	Professional		$49.02	$82.50	$98.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $68.30 / $113.31	Professional		$48.05	$68.30	$113.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $33.44 / $68.20	Professional		$21.14	$33.44	$68.20