Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $67.69 / $90.26	Facility		$44.36	$67.69	$90.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $52.87 / $90.26	Professional		$31.90	$52.87	$90.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $100.83 / $104.12	Professional		$88.50	$100.83	$104.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.35 / $181.68 / $181.68	Facility		$83.35	$181.68	$181.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $89.64 / $259.41	Professional		$46.96	$89.64	$259.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $83.63 / $149.77	Professional		$45.93	$83.63	$149.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $62.79 / $106.70	Facility		$37.86	$62.79	$106.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $59.36 / $98.61	Professional		$37.86	$59.36	$98.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $96.36 / $173.59	Professional		$19.27	$96.36	$173.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $113.23 / $119.26	Facility		$68.48	$113.23	$119.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.35 / $83.35 / $83.35	Facility		$83.35	$83.35	$83.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.54 / $147.40	Professional		$61.66	$97.54	$147.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $84.27 / $125.94	Professional		$55.88	$84.27	$125.94
United Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $102.83 / $169.92	Professional		$62.93	$102.83	$169.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $47.76 / $63.10	Professional		$39.19	$47.76	$63.10