Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $67.84 / $231.57	Facility		$33.54	$67.84	$231.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $32.25 / $113.00	Professional		$24.48	$32.25	$113.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $42.88 / $42.88	Professional		$42.88	$42.88	$42.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $83.00 / $162.35	Facility		$48.39	$83.00	$162.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $52.21 / $384.71	Professional		$33.26	$52.21	$384.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $44.72 / $78.28	Professional		$27.01	$44.72	$78.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $31.92 / $59.96	Facility		$22.72	$31.92	$59.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $32.61 / $59.96	Professional		$22.52	$32.61	$59.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.37 / $50.60 / $88.29	Professional		$9.37	$50.60	$88.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $46.93 / $49.64	Facility		$36.90	$46.93	$49.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $32.61 / $32.61	Facility		$32.45	$32.61	$32.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $53.13 / $64.40	Professional		$36.47	$53.13	$64.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $44.25 / $59.53	Professional		$33.26	$44.25	$59.53
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.04 / $70.19	Professional		$29.51	$39.04	$70.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $24.80 / $24.80	Professional		$19.60	$24.80	$24.80