Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $76.20 / $76.20	Professional		$76.20	$76.20	$76.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $68.12 / $182.97	Facility		$48.92	$68.12	$182.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $78.59 / $319.20	Professional		$37.26	$78.59	$319.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $72.92 / $147.46	Professional		$58.34	$72.92	$147.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $47.82 / $87.46	Facility		$32.54	$47.82	$87.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $51.42 / $91.85	Professional		$33.32	$51.42	$91.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.05 / $73.41 / $74.37	Facility		$61.05	$73.41	$74.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $48.92 / $48.92	Facility		$48.92	$48.92	$48.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.15 / $86.85 / $100.69	Professional		$57.15	$86.85	$100.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $38.29 / $73.31	Professional		$36.38	$38.29	$73.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $53.56 / $101.78	Professional		$36.22	$53.56	$101.78