Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $41.67 / $120.75	Facility		$24.05	$41.67	$120.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $24.05 / $42.85	Professional		$14.69	$24.05	$42.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.50 / $23.00	Professional		$9.86	$11.50	$23.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $84.38 / $161.41	Facility		$47.34	$84.38	$161.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $48.58 / $218.88	Professional		$27.00	$48.58	$218.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $35.02 / $50.90	Facility		$18.86	$35.02	$50.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $21.94 / $28.78	Professional		$10.42	$21.94	$28.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $46.99 / $88.74	Facility		$22.63	$46.99	$88.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $46.99 / $80.64	Professional		$24.61	$46.99	$80.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $44.89 / $48.55	Facility		$31.85	$44.89	$48.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $30.35 / $31.26	Facility		$30.35	$30.35	$31.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $42.71 / $57.80	Professional		$27.00	$42.71	$57.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $82.34 / $160.47	Facility		$47.34	$82.34	$160.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $39.15 / $53.41	Professional		$25.87	$39.15	$53.41
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $14.51 / $37.64	Professional		$13.82	$14.51	$37.64