Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $55.22 / $64.95	Facility		$29.89	$55.22	$64.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $42.31 / $63.80	Professional		$21.53	$42.31	$63.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $41.57 / $85.51	Professional		$27.74	$41.57	$85.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $105.96 / $105.96	Facility		$58.89	$105.96	$105.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $57.29 / $278.14	Professional		$27.74	$57.29	$278.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $48.00 / $80.43	Professional		$34.00	$48.00	$80.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $41.92 / $77.05	Facility		$21.90	$41.92	$77.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $40.60 / $71.13	Professional		$21.90	$40.60	$71.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $96.36 / $173.50	Professional		$17.21	$96.36	$173.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $83.06 / $89.11	Facility		$46.07	$83.06	$89.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $58.89 / $58.89	Facility		$58.89	$58.89	$58.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $60.04 / $108.76	Professional		$35.45	$60.04	$108.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $283.95 / $283.95 / $435.66	Facility		$283.95	$283.95	$435.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $47.73 / $68.04	Professional		$28.46	$47.73	$68.04
United Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $66.50 / $125.26	Professional		$44.84	$66.50	$125.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $34.79 / $46.22	Professional		$22.73	$34.79	$46.22