Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $72.73 / $75.93	Facility		$32.04	$72.73	$75.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $32.04 / $76.76	Professional		$24.32	$32.04	$76.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $36.76	Professional		$36.76	$36.76	$36.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $265.68 / $265.68	Facility		$49.52	$265.68	$265.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $49.95 / $281.67	Professional		$40.15	$49.95	$281.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $35.97	Facility		$33.97	$33.97	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $39.97	Professional		$28.88	$28.88	$39.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.25 / $57.69 / $97.71	Facility		$33.25	$57.69	$97.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $57.82 / $102.61	Professional		$33.79	$57.82	$102.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $43.36 / $47.69	Professional		$39.02	$43.36	$47.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $55.23 / $56.56	Facility		$50.71	$55.23	$56.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $56.56 / $56.56	Professional		$49.42	$56.56	$56.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.95 / $49.52 / $91.57	Facility		$46.95	$49.52	$91.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $53.57 / $81.28	Professional		$46.95	$53.57	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $48.08 / $62.22	Professional		$44.93	$48.08	$62.22
United Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $23.99 / $45.76	Professional		$22.18	$23.99	$45.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $33.14 / $33.14	Professional		$28.34	$33.14	$33.14