Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $41.89 / $71.41	Facility		$33.63	$41.89	$71.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $30.79 / $60.87	Professional		$22.30	$30.79	$60.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $44.79 / $44.79	Professional		$16.45	$44.79	$44.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $238.94 / $238.94	Facility		$38.11	$238.94	$238.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $47.91 / $342.78	Professional		$29.57	$47.91	$342.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $45.57 / $78.89	Professional		$26.44	$45.57	$78.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $44.55 / $63.39	Facility		$23.56	$44.55	$63.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $41.40 / $62.28	Professional		$22.68	$41.40	$62.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $53.71 / $92.91	Professional		$9.16	$53.71	$92.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $47.60 / $52.26	Facility		$35.28	$47.60	$52.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.71 / $41.69 / $48.26	Facility		$31.71	$41.69	$48.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $51.45 / $65.31	Professional		$32.90	$51.45	$65.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $35.96 / $56.30	Facility		$29.96	$35.96	$56.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $44.60 / $61.85	Professional		$29.57	$44.60	$61.85
United Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $41.34 / $74.28	Professional		$27.57	$41.34	$74.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $23.73 / $26.10	Professional		$20.43	$23.73	$26.10