Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $159.46 / $434.72	Facility		$25.96	$159.46	$434.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $13.52 / $46.66	Professional		$6.78	$13.52	$46.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $10.74 / $13.65	Professional		$5.90	$10.74	$13.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $107.98 / $229.01	Facility		$20.03	$107.98	$229.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.71 / $99.52	Professional		$8.32	$15.71	$99.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $25.77 / $31.03	Professional		$17.91	$25.77	$31.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $13.66 / $29.53	Facility		$8.96	$13.66	$29.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $13.08 / $22.82	Professional		$8.40	$13.08	$22.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $4.10 / $5.59	Professional		$3.36	$4.10	$5.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $15.68 / $22.77	Facility		$10.94	$15.68	$22.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $8.68 / $8.68	Facility		$8.68	$8.68	$8.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $8.68 / $8.68	Professional		$8.68	$8.68	$8.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $173.34 / $331.58	Facility		$112.40	$173.34	$331.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.95 / $16.82	Professional		$8.32	$11.95	$16.82
United Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $14.39 / $23.40	Professional		$9.60	$14.39	$23.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.38 / $7.38	Professional		$5.25	$7.38	$7.38