Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $122.77 / $682.20	Facility		$16.05	$122.77	$682.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $26.97 / $133.30	Professional		$11.60	$26.97	$133.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $21.83 / $90.10	Professional		$11.61	$21.83	$90.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $81.52 / $81.52	Facility		$68.40	$81.52	$81.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $73.00 / $324.58	Professional		$17.09	$73.00	$324.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $45.78 / $130.12	Professional		$15.61	$45.78	$130.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $45.26 / $125.34	Facility		$14.68	$45.26	$125.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $44.46 / $125.34	Professional		$13.50	$44.46	$125.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.29 / $54.21 / $95.35	Professional		$9.29	$54.21	$95.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $95.81 / $101.17	Facility		$23.45	$95.81	$101.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $68.40 / $69.01	Facility		$68.40	$68.40	$69.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $66.06 / $133.72	Professional		$21.00	$66.06	$133.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $44.87 / $106.83	Professional		$17.09	$44.87	$106.83
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $90.41 / $143.65	Professional		$62.92	$90.41	$143.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $44.90 / $57.41	Professional		$12.42	$44.90	$57.41