Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $26.61 / $39.43	Professional		$18.91	$26.61	$39.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $32.82	Professional		$24.31	$24.31	$32.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $32.61 / $132.19	Facility		$32.61	$32.61	$132.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $57.57 / $187.43	Professional		$30.62	$57.57	$187.43
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $38.86 / $39.49 / $43.62	Professional	50	$38.86	$39.49	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $38.90 / $68.61	Professional		$21.11	$38.90	$68.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $35.50 / $60.67	Facility		$26.65	$35.50	$60.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $36.15 / $61.39	Professional		$26.98	$36.15	$61.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $14.38 / $15.82	Professional		$13.08	$14.38	$15.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.81 / $47.57 / $49.58	Facility		$31.81	$47.57	$49.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $32.61 / $32.61	Facility		$32.61	$32.61	$32.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $52.25 / $64.69	Professional		$33.82	$52.25	$64.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $43.99 / $59.53	Professional		$30.49	$43.99	$59.53
United Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $38.33 / $70.16	Professional		$28.40	$38.33	$70.16