Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $35.39 / $159.26	Facility		$25.19	$35.39	$159.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $22.19 / $31.67	Professional		$17.94	$22.19	$31.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $40.24 / $55.00	Professional		$34.54	$40.24	$55.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $95.38 / $95.38	Facility		$29.90	$95.38	$95.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $30.49 / $159.83	Professional		$19.38	$30.49	$159.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $29.00 / $59.06	Professional		$17.00	$29.00	$59.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $24.76 / $46.99	Facility		$18.46	$24.76	$46.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $24.76 / $43.05	Professional		$18.46	$24.76	$43.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $47.67 / $85.28	Professional		$10.35	$47.67	$85.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $39.53 / $45.56	Facility		$26.53	$39.53	$45.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $29.90 / $29.90	Facility		$29.90	$29.90	$29.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $43.49 / $57.57	Professional		$29.79	$43.49	$57.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $25.92 / $33.79	Professional		$19.07	$25.92	$33.79
United Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $29.99 / $62.71	Professional		$19.53	$29.99	$62.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $21.59 / $25.15	Professional		$19.88	$21.59	$25.15