Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.17 / $82.90 / $154.53	Facility		$72.17	$82.90	$154.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $64.87 / $93.88	Professional		$52.04	$64.87	$93.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $60.46 / $117.26	Professional		$54.15	$60.46	$117.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $278.55 / $278.55	Facility		$87.88	$278.55	$278.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $89.63 / $478.88	Professional		$56.92	$89.63	$478.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $84.15 / $176.05	Professional		$50.00	$84.15	$176.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $70.98 / $135.94	Facility		$52.92	$70.98	$135.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $70.91 / $124.32	Professional		$52.92	$70.91	$124.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $89.74 / $168.52	Professional		$20.84	$89.74	$168.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.44 / $117.92 / $134.66	Facility		$77.44	$117.92	$134.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $87.88 / $87.88	Facility		$87.88	$87.88	$87.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $128.24 / $168.38	Professional		$86.83	$128.24	$168.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.42 / $354.42 / $543.76	Facility		$354.42	$354.42	$543.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $76.75 / $98.28	Professional		$56.91	$76.75	$98.28
United Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $90.72 / $182.39	Professional		$57.41	$90.72	$182.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $63.03 / $73.29	Professional		$57.98	$63.03	$73.29