Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $46.04 / $84.19	Facility		$35.06	$46.04	$84.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $31.94 / $46.74	Professional		$24.76	$31.94	$46.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $143.82 / $547.76	Facility		$47.11	$143.82	$547.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $57.25 / $104.70	Professional		$31.85	$57.25	$104.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $55.90 / $91.94	Professional		$32.68	$55.90	$91.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $36.71 / $71.93	Facility		$27.22	$36.71	$71.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $36.71 / $68.98	Professional		$27.72	$36.71	$68.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $27.23 / $45.80	Professional		$19.57	$27.23	$45.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $64.86 / $68.34	Facility		$47.00	$64.86	$68.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $70.34 / $89.49	Professional		$47.48	$70.34	$89.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $67.90 / $67.90	Facility		$67.90	$67.90	$67.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $55.90 / $79.97	Professional		$43.51	$55.90	$79.97
United Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $46.16 / $97.84	Professional		$29.67	$46.16	$97.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $33.29 / $36.06	Professional		$28.16	$33.29	$36.06