Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $39.63 / $137.16	Facility		$19.62	$39.63	$137.16
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $9.81 / $19.80 / $68.58	Facility	52	$9.81	$19.80	$68.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $20.16 / $68.00	Professional		$14.41	$20.16	$68.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $22.65 / $27.27	Professional		$16.95	$22.65	$27.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $79.79 / $133.44	Facility		$28.69	$79.79	$133.44
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $26.62 / $52.73 / $52.73	Facility	52	$26.62	$52.73	$52.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $30.45 / $250.96	Professional		$19.29	$30.45	$250.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $25.85 / $45.27	Professional		$15.77	$25.85	$45.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $18.76 / $35.15	Facility		$13.44	$18.76	$35.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $19.41 / $35.17	Professional		$13.44	$19.41	$35.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $8.61 / $10.85	Professional		$7.23	$8.61	$10.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $27.47 / $29.48	Facility		$20.35	$27.47	$29.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $19.03 / $19.03	Facility		$18.73	$19.03	$19.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $30.68 / $37.20	Professional		$21.07	$30.68	$37.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $25.79 / $34.72	Professional		$19.39	$25.79	$34.72
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $24.63 / $41.51	Professional		$17.34	$24.63	$41.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $14.74 / $14.74	Professional		$11.60	$14.74	$14.74