Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $69.78 / $176.52	Facility		$25.25	$69.78	$176.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $30.29 / $112.25	Professional		$24.30	$30.29	$112.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $30.34 / $40.85	Professional		$21.80	$30.34	$40.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $143.78 / $178.00	Facility		$37.02	$143.78	$178.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $42.42 / $440.85	Professional		$24.95	$42.42	$440.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $40.09 / $60.47	Professional		$23.74	$40.09	$60.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $33.03 / $62.36	Facility		$24.32	$33.03	$62.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $33.93 / $61.52	Professional		$23.56	$33.93	$61.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.28 / $14.13	Professional		$9.42	$11.28	$14.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $36.18 / $51.75	Facility		$29.69	$36.18	$51.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $24.46 / $24.68	Facility		$24.46	$24.46	$24.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $40.40 / $48.98	Professional		$27.84	$40.40	$48.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $34.40 / $47.57	Professional		$24.95	$34.40	$47.57
United Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $39.04 / $65.39	Professional		$29.19	$39.04	$65.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $18.96 / $18.96	Professional		$14.91	$18.96	$18.96