Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $26.87 / $43.95	Professional		$19.57	$26.87	$43.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.59 / $13.02 / $19.77	Professional	52	$9.59	$13.02	$19.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $49.05 / $55.00	Professional		$35.38	$49.05	$55.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $171.62	Facility		$37.15	$37.15	$171.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $62.39 / $230.63	Professional		$28.41	$62.39	$230.63
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $27.68 / $27.68 / $27.68	Professional	50	$27.68	$27.68	$27.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $38.34 / $72.81	Professional		$20.86	$38.34	$72.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $34.61 / $66.90	Facility		$25.10	$34.61	$66.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $36.01 / $64.63	Professional		$25.11	$36.01	$64.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $15.89 / $17.64	Professional		$11.59	$15.89	$17.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.58 / $51.26 / $55.76	Facility		$36.58	$51.26	$55.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $50.01 / $71.34	Professional		$31.55	$50.01	$71.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $39.99 / $63.67	Professional		$27.26	$39.99	$63.67
United Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $41.77 / $76.78	Professional		$29.21	$41.77	$76.78