Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $157.43 / $348.65	Facility		$50.75	$157.43	$348.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $70.84 / $211.99	Professional		$39.47	$70.84	$211.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $64.56 / $69.80	Professional		$46.89	$64.56	$69.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $116.89 / $267.00	Facility		$72.34	$116.89	$267.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $80.66 / $568.04	Professional		$50.36	$80.66	$568.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $81.99 / $123.14	Professional		$48.84	$81.99	$123.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $77.50 / $137.35	Facility		$52.39	$77.50	$137.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $77.50 / $137.35	Professional		$50.68	$77.50	$137.35
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 $58.80 / $72.36 / $128.63	Facility		$58.80	$72.36	$128.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.36 / $49.38 / $49.38	Facility		$49.36	$49.38	$49.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $80.81 / $97.97	Professional		$55.67	$80.81	$97.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $69.15 / $97.01	Professional		$50.36	$69.15	$97.01
United Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $77.48 / $108.56	Professional		$47.09	$77.48	$108.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $37.51 / $37.51	Professional		$29.54	$37.51	$37.51