Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $31.69 / $42.78	Facility		$27.31	$31.69	$42.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $24.37 / $31.88	Professional		$19.77	$24.37	$31.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $44.64 / $44.64	Professional		$44.64	$44.64	$44.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $105.96 / $105.96	Facility		$33.07	$105.96	$105.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $34.20 / $178.73	Professional		$21.69	$34.20	$178.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $32.00 / $66.09	Professional		$19.00	$32.00	$66.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $27.01 / $51.96	Facility		$20.16	$27.01	$51.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $27.01 / $47.12	Professional		$20.16	$27.01	$47.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $43.66 / $83.63	Professional		$11.02	$43.66	$83.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $44.22 / $50.92	Facility		$29.75	$44.22	$50.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $33.07 / $33.07	Facility		$33.07	$33.07	$33.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.35 / $63.67	Professional		$32.36	$48.35	$63.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $28.79 / $37.15	Professional		$21.34	$28.79	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $33.11 / $68.40	Professional		$21.57	$33.11	$68.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $23.95 / $27.90	Professional		$22.09	$23.95	$27.90