Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $100.00 / $766.80	Facility		$19.01	$100.00	$766.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $8.11 / $12.55 / $39.65	Facility	52	$8.11	$12.55	$39.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $40.46 / $140.00	Professional		$11.30	$40.46	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.65 / $16.89 / $31.08	Professional	52	$5.65	$16.89	$31.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $22.57 / $67.08	Professional		$20.13	$22.57	$67.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $52.98 / $52.98	Facility		$23.35	$52.98	$52.98
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $18.68 / $42.38 / $42.38	Facility	52	$18.68	$42.38	$42.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $72.05 / $243.34	Professional		$20.07	$72.05	$243.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $42.08 / $110.47	Professional		$15.57	$42.08	$110.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $35.34 / $100.37	Facility		$14.76	$35.34	$100.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $35.34 / $100.53	Professional		$15.48	$35.34	$100.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $53.66 / $92.81	Professional		$9.15	$53.66	$92.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.63 / $71.77 / $75.70	Facility		$36.63	$71.77	$75.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.73 / $50.73 / $51.19	Facility		$50.73	$50.73	$51.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $48.56 / $100.69	Professional		$20.29	$48.56	$100.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $42.37 / $85.56	Professional		$17.76	$42.37	$85.56
United Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $66.67 / $111.87	Professional		$46.61	$66.67	$111.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $12.20 / $41.40	Professional		$12.20	$12.20	$41.40