Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $51.99 / $55.27	Facility		$41.45	$51.99	$55.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $38.11 / $52.48	Professional		$28.77	$38.11	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $34.90 / $75.70	Professional		$33.40	$34.90	$75.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $157.44 / $157.44	Facility		$46.21	$157.44	$157.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $51.25 / $301.05	Professional		$34.18	$51.25	$301.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $39.00 / $72.20	Professional		$31.00	$39.00	$72.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $46.52 / $88.32	Facility		$33.79	$46.52	$88.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $44.46 / $78.06	Professional		$32.65	$44.46	$78.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $49.63 / $90.03	Professional		$9.69	$49.63	$90.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $68.47 / $71.69	Facility		$44.82	$68.47	$71.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $46.21 / $46.21	Facility		$46.21	$46.21	$46.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $75.58 / $93.43	Professional		$48.51	$75.58	$93.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $885.71 / $885.71 / $1,358.89	Facility		$885.71	$885.71	$1,358.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $47.12 / $67.31	Professional		$40.99	$47.12	$67.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $55.56 / $97.53	Professional		$36.69	$55.56	$97.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $34.90 / $40.92	Professional		$28.71	$34.90	$40.92