Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $62.18 / $221.68	Facility		$33.17	$62.18	$221.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $31.82 / $74.40	Professional		$22.88	$31.82	$74.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $37.97 / $44.61	Professional		$22.41	$37.97	$44.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $54.13 / $102.96	Facility		$41.82	$54.13	$102.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $51.09 / $187.80	Professional		$31.08	$51.09	$187.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $42.82 / $74.91	Professional		$26.29	$42.82	$74.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $31.08 / $58.44	Facility		$22.72	$31.08	$58.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $32.99 / $58.44	Professional		$22.21	$32.99	$58.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.37 / $50.96 / $88.29	Professional		$9.37	$50.96	$88.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $44.93 / $45.56	Facility		$29.92	$44.93	$45.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $32.15 / $32.15	Facility		$31.08	$32.15	$32.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $51.63 / $62.84	Professional		$35.45	$51.63	$62.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $43.15 / $58.41	Professional		$32.79	$43.15	$58.41
United Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $40.52 / $70.86	Professional		$29.66	$40.52	$70.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $23.73 / $23.73	Professional		$18.78	$23.73	$23.73