Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $75.01 / $95.65	Facility		$56.18	$75.01	$95.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $48.32 / $85.14	Professional		$38.92	$48.32	$85.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $51.87 / $115.75	Professional		$39.07	$51.87	$115.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $193.75 / $193.75	Facility		$59.41	$193.75	$193.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $86.54 / $362.25	Professional		$50.89	$86.54	$362.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $77.09 / $129.38	Professional		$46.23	$77.09	$129.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $64.81 / $108.35	Facility		$39.36	$64.81	$108.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $61.81 / $105.36	Professional		$37.33	$61.81	$105.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.70 / $51.75 / $92.31	Professional		$9.70	$51.75	$92.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $84.36 / $87.10	Facility		$56.70	$84.36	$87.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.34 / $59.34 / $59.41	Facility		$59.34	$59.34	$59.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $92.75 / $117.92	Professional		$59.41	$92.75	$117.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $83.46 / $113.34	Professional		$59.60	$83.46	$113.34
United Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $41.73 / $41.73	Facility		$41.73	$41.73	$41.73
United Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $73.66 / $127.50	Professional		$50.35	$73.66	$127.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $42.01 / $45.50	Professional		$35.61	$42.01	$45.50