Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $78.22 / $144.65	Professional		$47.30	$78.22	$144.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $68.34 / $103.72 / $387.90	Professional	25	$68.34	$103.72	$387.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $118.26 / $118.26	Professional		$87.60	$118.26	$118.26
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $81.47 / $81.47 / $81.47	Professional	25	$81.47	$81.47	$81.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $118.69 / $288.20	Facility		$118.69	$118.69	$288.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $134.25 / $757.73	Professional		$54.06	$134.25	$757.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $104.53 / $227.61	Professional		$54.54	$104.53	$227.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $105.18 / $214.33	Facility		$63.00	$105.18	$214.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $107.67 / $214.26	Professional		$63.66	$107.67	$214.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $158.36 / $277.09	Professional		$27.11	$158.36	$277.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $158.49 / $178.89	Facility		$65.00	$158.49	$178.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $118.69 / $118.69	Facility		$118.69	$118.69	$118.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $131.07 / $231.01	Professional		$77.81	$131.07	$231.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $90.58 / $122.42	Professional		$53.65	$90.58	$122.42
United Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $124.50 / $239.03	Professional		$66.95	$124.50	$239.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $75.00 / $130.00	Professional		$48.00	$75.00	$130.00