Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $37.79 / $56.35	Professional		$29.98	$37.79	$56.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $50.70 / $50.70	Professional		$50.70	$50.70	$50.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $205.87 / $205.87	Facility		$39.29	$205.87	$205.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.49 / $367.13	Professional		$38.90	$50.49	$367.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $71.53 / $105.85	Professional		$42.00	$71.53	$105.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $49.91 / $93.63	Facility		$38.75	$49.91	$93.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $49.91 / $92.76	Professional		$41.23	$49.91	$92.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.65 / $99.37 / $172.66	Professional		$16.65	$99.37	$172.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.68 / $89.11 / $101.84	Facility		$60.68	$89.11	$101.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $107.10 / $127.14	Professional		$38.65	$107.10	$127.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.22 / $50.16	Professional		$38.90	$44.22	$50.16
United Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $77.98 / $147.72	Professional		$46.01	$77.98	$147.72