Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $45.27 / $54.69	Facility		$34.96	$45.27	$54.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $38.47 / $147.15	Professional		$23.58	$38.47	$147.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $42.36 / $59.83	Professional		$28.20	$42.36	$59.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $134.74 / $134.74	Facility		$45.93	$134.74	$134.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $65.95 / $197.08	Professional		$41.22	$65.95	$197.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $56.43 / $89.08	Professional		$30.72	$56.43	$89.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $60.50 / $83.07	Facility		$30.97	$60.50	$83.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $56.16 / $82.32	Professional		$30.03	$56.16	$82.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $33.73 / $81.43	Professional		$8.16	$33.73	$81.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $60.43 / $61.64	Facility		$40.44	$60.43	$61.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $69.11 / $84.55	Professional		$44.81	$69.11	$84.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $38.28 / $45.93	Facility		$38.28	$38.28	$45.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $58.51 / $79.37	Professional		$41.22	$58.51	$79.37
United Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $53.34 / $93.35	Professional		$35.01	$53.34	$93.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $31.15 / $32.34	Professional		$25.40	$31.15	$32.34