Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $81.81 / $94.45	Professional		$52.35	$81.81	$94.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $48.93 / $159.32	Professional		$40.03	$48.93	$159.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $202.56 / $427.50 / $427.50	Facility		$202.56	$427.50	$427.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $204.43 / $1,168.46	Professional		$112.73	$204.43	$1,168.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $89.88 / $119.36	Professional		$51.07	$89.88	$119.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $162.47 / $246.48	Facility		$96.72	$162.47	$246.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.82 / $186.16 / $246.48	Professional		$104.82	$186.16	$246.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $159.15 / $272.69	Professional		$26.64	$159.15	$272.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.66 / $161.84 / $195.57	Facility		$134.66	$161.84	$195.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $191.52 / $225.93	Professional		$114.39	$191.52	$225.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $159.37 / $203.67	Professional		$112.73	$159.37	$203.67
United Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $67.98 / $177.68	Professional		$50.02	$67.98	$177.68