Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $46.34 / $144.08	Facility		$25.13	$46.34	$144.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $25.13 / $68.00	Professional		$12.51	$25.13	$68.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.83 / $28.83	Professional		$28.83	$28.83	$28.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.84 / $196.23 / $196.23	Facility		$38.84	$196.23	$196.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $38.84 / $220.91	Professional		$29.20	$38.84	$220.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $26.66 / $26.66	Facility		$22.51	$26.66	$26.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $31.36	Professional		$22.66	$22.66	$31.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.07 / $46.86 / $81.16	Facility		$36.07	$46.86	$81.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $48.88 / $81.16	Professional		$36.07	$48.88	$81.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $34.01 / $37.41	Professional		$30.60	$34.01	$37.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $38.19 / $44.36	Facility		$35.22	$38.19	$44.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $39.92 / $44.36	Professional		$37.71	$39.92	$44.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $38.84 / $71.81	Facility		$36.82	$38.84	$71.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $40.11 / $63.75	Professional		$36.82	$40.11	$63.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $37.71 / $48.80	Professional		$35.24	$37.71	$48.80
United Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $18.82 / $35.89	Professional		$17.39	$18.82	$35.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $7.18 / $17.22	Professional		$7.18	$7.18	$17.22