Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $84.79 / $111.48	Facility		$34.65	$84.79	$111.48
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $60.49 / $60.49 / $60.49	Facility	25	$60.49	$60.49	$60.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $46.12 / $96.53	Professional		$29.26	$46.12	$96.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.71 / $55.52 / $67.55	Professional	25	$42.71	$55.52	$67.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $70.43 / $70.43	Professional		$70.43	$70.43	$70.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $102.91 / $236.78 / $483.21	Facility		$102.91	$236.78	$483.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $102.92 / $316.30	Professional		$57.78	$102.92	$316.30
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $45.22 / $58.35 / $92.15	Professional	25	$45.22	$58.35	$92.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $77.17 / $148.61	Professional		$38.85	$77.17	$148.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $47.65 / $97.12	Facility		$33.04	$47.65	$97.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $47.09 / $85.68	Professional		$30.03	$47.09	$85.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $98.48 / $173.05	Professional		$18.73	$98.48	$173.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.40 / $102.78 / $125.96	Facility		$58.40	$102.78	$125.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $83.81 / $83.81	Facility		$81.50	$83.81	$83.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $111.50 / $149.77	Professional		$69.43	$111.50	$149.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.80 / $247.00 / $483.21	Facility		$163.80	$247.00	$483.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $87.17 / $133.83	Professional		$68.23	$87.17	$133.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $70.13 / $168.66	Professional		$51.47	$70.13	$168.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $51.97 / $67.36	Professional		$48.26	$51.97	$67.36