Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $38.36 / $188.32	Facility		$23.87	$38.36	$188.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $24.36 / $65.31	Professional		$17.52	$24.36	$65.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $33.74 / $36.52	Professional		$28.68	$33.74	$36.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.26 / $340.26 / $692.47	Facility		$83.26	$340.26	$692.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $38.75 / $263.33	Professional		$23.26	$38.75	$263.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $40.65 / $88.43	Professional		$21.68	$40.65	$88.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $52.31 / $142.33	Facility		$22.51	$52.31	$142.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $48.50 / $119.31	Professional		$20.44	$48.50	$119.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.71 / $14.37	Professional		$9.58	$11.71	$14.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $37.52 / $129.31	Facility		$30.76	$37.52	$129.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $25.59	Facility		$25.37	$25.37	$25.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $40.71 / $50.61	Professional		$25.63	$40.71	$50.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $35.93 / $49.33	Professional		$25.41	$35.93	$49.33
United Facility/Professional Facility Modifier Low / Median / High Price $366.43 / $478.13 / $751.42	Facility		$366.43	$478.13	$751.42
United Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $41.53 / $80.23	Professional		$21.41	$41.53	$80.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $18.23 / $19.73	Professional		$15.46	$18.23	$19.73