Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $88.59 / $121.07	Facility		$76.89	$88.59	$121.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $68.56 / $98.01	Professional		$54.99	$68.56	$98.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $58.35 / $124.46	Professional		$58.35	$58.35	$124.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.32 / $295.20 / $295.20	Facility		$93.32	$295.20	$295.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $96.03 / $505.50	Professional		$60.15	$96.03	$505.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $90.00 / $186.06	Professional		$53.00	$90.00	$186.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $75.79 / $145.50	Facility		$56.56	$75.79	$145.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $75.79 / $132.69	Professional		$56.56	$75.79	$132.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $87.18 / $167.27	Professional		$21.59	$87.18	$167.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $120.73 / $142.04	Facility		$81.61	$120.73	$142.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.32 / $93.32 / $93.32	Facility		$93.32	$93.32	$93.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $135.75 / $177.93	Professional		$91.97	$135.75	$177.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $63.79 / $97.86	Facility		$63.79	$63.79	$97.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $80.95 / $104.43	Professional		$60.15	$80.95	$104.43
United Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $91.63 / $192.65	Professional		$60.96	$91.63	$192.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $66.73 / $77.79	Professional		$61.56	$66.73	$77.79