Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.96 / $90.10 / $282.92	Facility		$40.96	$90.10	$282.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $40.96 / $140.00	Professional		$30.32	$40.96	$140.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $52.39 / $56.64	Professional		$38.03	$52.39	$56.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $116.28 / $147.69	Facility		$58.50	$116.28	$147.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $61.86 / $324.60	Professional		$38.06	$61.86	$324.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $56.50 / $95.59	Professional		$32.97	$56.50	$95.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $42.08 / $76.59	Facility		$29.40	$42.08	$76.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $42.82 / $77.18	Professional		$28.52	$42.82	$77.18
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 $47.80 / $57.12 / $64.31	Facility		$47.80	$57.12	$64.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $39.86 / $39.86	Facility		$39.76	$39.86	$39.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $65.84 / $78.92	Professional		$45.21	$65.84	$78.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $55.35 / $73.04	Professional		$40.65	$55.35	$73.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $53.36 / $86.78	Professional		$36.96	$53.36	$86.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $30.42 / $30.42	Professional		$24.02	$30.42	$30.42