Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $48.24 / $73.48	Facility		$36.86	$48.24	$73.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $30.43 / $65.12	Professional		$21.85	$30.43	$65.12
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.97 / $94.80 / $101.00	Professional	25	$26.97	$94.80	$101.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $49.47 / $54.56	Professional		$24.28	$49.47	$54.56
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $28.56 / $28.56 / $28.56	Professional	25	$28.56	$28.56	$28.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $112.04 / $252.81	Facility		$80.00	$112.04	$252.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $52.83 / $342.78	Professional		$32.31	$52.83	$342.78
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $30.99 / $42.93 / $53.38	Professional	25	$30.99	$42.93	$53.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $46.83 / $76.66	Professional		$26.35	$46.83	$76.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $49.01 / $67.45	Facility		$24.49	$49.01	$67.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $43.68 / $64.27	Professional		$23.87	$43.68	$64.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $52.11 / $91.09	Professional		$9.17	$52.11	$91.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $51.77 / $54.94	Facility		$38.22	$51.77	$54.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $37.60 / $37.60	Facility		$37.60	$37.60	$37.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $58.19 / $73.50	Professional		$38.15	$58.19	$73.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $81.31 / $112.87	Facility		$73.95	$81.31	$112.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $49.00 / $67.63	Professional		$33.89	$49.00	$67.63
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $44.65 / $79.94	Professional		$29.59	$44.65	$79.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $25.86 / $29.02	Professional		$22.63	$25.86	$29.02