Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.36 / $91.29 / $349.35	Facility		$49.36	$91.29	$349.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $49.36 / $106.83	Professional		$35.52	$49.36	$106.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $69.94 / $75.41	Professional		$46.13	$69.94	$75.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $121.68 / $158.93	Facility		$69.76	$121.68	$158.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $79.56 / $324.60	Professional		$47.52	$79.56	$324.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $65.47 / $112.82	Professional		$40.38	$65.47	$112.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $67.65 / $95.34	Facility		$33.17	$67.65	$95.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $68.19 / $95.34	Professional		$33.47	$68.19	$95.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $53.51 / $92.81	Professional		$9.15	$53.51	$92.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $64.31 / $69.68	Facility		$52.43	$64.31	$69.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $44.85 / $47.53	Facility		$44.85	$44.85	$47.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $76.92 / $97.48	Professional		$52.07	$76.92	$97.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $67.18 / $90.06	Professional		$45.74	$67.18	$90.06
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $58.85 / $102.48	Professional		$39.90	$58.85	$102.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11