Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $63.59 / $532.00	Professional		$38.42	$63.59	$532.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $104.89 / $117.60	Professional		$31.78	$104.89	$117.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $148.77 / $332.76 / $332.76	Facility		$148.77	$332.76	$332.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $151.24 / $951.12	Professional		$84.08	$151.24	$951.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $66.81 / $92.35	Professional		$40.46	$66.81	$92.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $130.56 / $184.68	Facility		$78.51	$130.56	$184.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $138.71 / $184.68	Professional		$79.98	$138.71	$184.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $105.99 / $184.73	Professional		$18.01	$105.99	$184.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.94 / $121.03 / $152.76	Facility		$98.94	$121.03	$152.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $141.28 / $167.15	Professional		$84.51	$141.28	$167.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $117.74 / $151.06	Professional		$84.08	$117.74	$151.06
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $56.13 / $102.80	Professional		$37.00	$56.13	$102.80