Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.46 / $62.89 / $244.66	Facility		$36.46	$62.89	$244.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $36.47 / $84.80	Professional		$25.44	$36.47	$84.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $43.25 / $48.98	Professional		$30.14	$43.25	$48.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $59.71 / $113.54	Facility		$46.00	$59.71	$113.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $56.56 / $206.93	Professional		$34.28	$56.56	$206.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $47.26 / $82.73	Professional		$28.93	$47.26	$82.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $34.44 / $64.20	Facility		$24.96	$34.44	$64.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $36.34 / $64.54	Professional		$24.40	$36.34	$64.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $50.71 / $83.16	Professional		$9.97	$50.71	$83.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $49.60 / $50.25	Facility		$33.00	$49.60	$50.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.28 / $35.33 / $35.33	Facility		$34.28	$35.33	$35.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $55.58 / $69.20	Professional		$39.04	$55.58	$69.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $47.53 / $64.43	Professional		$36.04	$47.53	$64.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $42.04 / $76.44	Professional		$33.18	$42.04	$76.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $26.21 / $26.21	Professional		$20.71	$26.21	$26.21