Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $52.31 / $69.58	Facility		$34.65	$52.31	$69.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $38.17 / $73.79	Professional		$27.64	$38.17	$73.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $37.45 / $52.75	Professional		$35.17	$37.45	$52.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $134.74 / $134.74	Facility		$56.01	$134.74	$134.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $74.51 / $251.93	Professional		$41.22	$74.51	$251.93
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $37.28 / $56.30 / $85.12	Professional	25	$37.28	$56.30	$85.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $62.77 / $106.92	Professional		$35.82	$62.77	$106.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $63.76 / $97.66	Facility		$36.01	$63.76	$97.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $62.39 / $97.66	Professional		$33.76	$62.39	$97.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $107.61 / $185.44	Professional		$18.41	$107.61	$185.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $78.27 / $79.06	Facility		$51.92	$78.27	$79.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.45 / $53.45 / $53.45	Facility		$53.45	$53.45	$53.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $71.43 / $102.00	Professional		$49.28	$71.43	$102.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $63.81 / $91.63	Professional		$44.28	$63.81	$91.63
United Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $67.84 / $115.61	Professional		$43.21	$67.84	$115.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $32.85 / $42.99	Professional		$31.15	$32.85	$42.99