Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $58.45 / $105.34	Facility		$49.39	$58.45	$105.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $47.27 / $88.77	Professional		$31.57	$47.27	$88.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $61.72 / $61.72	Professional		$30.07	$61.72	$61.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $143.82 / $143.82	Facility		$52.40	$143.82	$143.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $67.39 / $514.16	Professional		$42.04	$67.39	$514.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $66.14 / $105.77	Professional		$38.97	$66.14	$105.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $66.12 / $93.77	Facility		$34.72	$66.12	$93.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $61.04 / $91.87	Professional		$33.79	$61.04	$91.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $53.71 / $92.31	Professional		$9.16	$53.71	$92.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.39 / $66.33 / $76.38	Facility		$54.39	$66.33	$76.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $57.31 / $68.00	Facility		$44.85	$57.31	$68.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $72.44 / $92.79	Professional		$45.24	$72.44	$92.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.19 / $49.43 / $82.28	Facility		$41.19	$49.43	$82.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $63.07 / $86.40	Professional		$42.97	$63.07	$86.40
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $61.56 / $110.70	Professional		$39.90	$61.56	$110.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $32.96 / $35.72	Professional		$28.16	$32.96	$35.72