Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $89.19 / $554.20	Facility		$24.14	$89.19	$554.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $49.54 / $89.19	Professional		$17.16	$49.54	$89.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $121.63 / $121.63	Professional		$121.63	$121.63	$121.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $80.22 / $80.22	Facility		$34.94	$80.22	$80.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $115.39 / $410.48	Professional		$27.36	$115.39	$410.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $65.15 / $207.45	Professional		$24.35	$65.15	$207.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $59.52 / $169.18	Facility		$22.68	$59.52	$169.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $53.76 / $158.03	Professional		$21.06	$53.76	$158.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $105.67 / $175.79	Professional		$18.00	$105.67	$175.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $126.43 / $148.74	Facility		$36.85	$126.43	$148.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $86.52 / $86.52	Facility		$86.52	$86.52	$86.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $80.62 / $169.23	Professional		$29.79	$80.62	$169.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $173.34 / $234.87	Facility		$157.63	$173.34	$234.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $67.94 / $153.62	Professional		$26.49	$67.94	$153.62
United Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $110.78 / $183.36	Professional		$74.48	$110.78	$183.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $64.04 / $89.02	Professional		$18.38	$64.04	$89.02