Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.81 / $74.41 / $145.13	Facility		$55.81	$74.41	$145.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $68.56 / $107.55	Professional		$52.13	$68.56	$107.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $73.48 / $132.36	Professional		$62.46	$73.48	$132.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.32 / $301.25 / $301.25	Facility		$93.32	$301.25	$301.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $98.98 / $527.85	Professional		$60.19	$98.98	$527.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $84.00 / $189.23	Professional		$34.11	$84.00	$189.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $59.83 / $104.09	Facility		$37.86	$59.83	$104.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $61.81 / $101.85	Professional		$39.42	$61.81	$101.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $144.85 / $258.88	Professional		$28.91	$144.85	$258.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $123.28 / $144.72	Facility		$81.97	$123.28	$144.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.32 / $93.32 / $93.32	Facility		$93.32	$93.32	$93.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $139.24 / $180.66	Professional		$85.32	$139.24	$180.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $85.01 / $136.63	Professional		$62.09	$85.01	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $96.74 / $193.92	Professional		$58.32	$96.74	$193.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $68.43 / $78.69	Professional		$62.12	$68.43	$78.69