Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $69.45 / $244.66	Facility		$34.75	$69.45	$244.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $33.19 / $104.00	Professional		$24.17	$33.19	$104.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $45.31 / $48.98	Professional		$30.47	$45.31	$48.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $85.00 / $113.54	Facility		$50.52	$85.00	$113.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $56.03 / $207.00	Professional		$34.53	$56.03	$207.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $46.61 / $81.78	Professional		$27.72	$46.61	$81.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $33.29 / $59.98	Facility		$22.94	$33.29	$59.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $34.02 / $60.54	Professional		$22.94	$34.02	$60.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $15.58 / $19.42	Professional		$12.95	$15.58	$19.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $49.31 / $51.00	Facility		$37.24	$49.31	$51.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $33.97 / $33.97	Facility		$33.82	$33.97	$33.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $56.12 / $67.13	Professional		$38.54	$56.12	$67.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $46.10 / $62.25	Professional		$34.65	$46.10	$62.25
United Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $40.28 / $74.11	Professional		$31.24	$40.28	$74.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $26.49 / $26.49	Professional		$23.00	$26.49	$26.49