Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $71.63 / $117.57	Facility		$45.10	$71.63	$117.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $45.10 / $135.00	Professional		$27.92	$45.10	$135.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $66.50 / $77.50	Professional		$52.31	$66.50	$77.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $80.00 / $180.13	Facility		$52.45	$80.00	$180.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $81.58 / $324.60	Professional		$46.66	$81.58	$324.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $75.18 / $120.52	Professional		$35.49	$75.18	$120.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $65.00 / $97.64	Facility		$30.76	$65.00	$97.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $65.55 / $97.71	Professional		$31.89	$65.55	$97.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $52.47 / $94.12	Professional		$9.98	$52.47	$94.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $78.25 / $84.25	Facility		$54.36	$78.25	$84.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $52.45 / $55.27	Facility		$52.45	$52.45	$55.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $92.07 / $109.76	Professional		$59.05	$92.07	$109.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $77.63 / $104.83	Professional		$55.88	$77.63	$104.83
United Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $56.64 / $116.82	Professional		$41.27	$56.64	$116.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $32.85 / $41.56	Professional		$32.85	$32.85	$41.56