Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.63 / $69.53 / $72.59	Facility		$30.63	$69.53	$72.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $30.63 / $73.39	Professional		$21.21	$30.63	$73.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $54.08 / $54.08	Professional		$37.86	$54.08	$54.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.35 / $90.85 / $253.09	Facility		$47.35	$90.85	$253.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $48.30 / $269.32	Professional		$37.85	$48.30	$269.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $35.60	Facility		$35.60	$35.60	$35.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $25.99 / $42.48	Professional		$25.99	$25.99	$42.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $54.08 / $108.04	Facility		$51.38	$54.08	$108.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $54.08 / $112.18	Professional		$51.38	$54.08	$112.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $50.96 / $100.38	Professional		$45.17	$50.96	$100.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.81 / $52.81 / $59.49	Facility		$52.81	$52.81	$59.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.89 / $47.35 / $102.98	Facility		$44.89	$47.35	$102.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $51.23 / $77.72	Professional		$44.89	$51.23	$77.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.47 / $52.81 / $52.81	Facility		$51.47	$52.81	$52.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $45.97 / $59.49	Professional		$43.21	$45.97	$59.49
United Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $32.08 / $46.32	Professional		$23.52	$32.08	$46.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Professional		$30.75	$30.75	$30.75