Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $84.53 / $88.26	Facility		$37.24	$84.53	$88.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $37.24 / $89.20	Professional		$18.53	$37.24	$89.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $308.79 / $308.79	Facility		$57.55	$308.79	$308.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $58.05 / $327.33	Professional		$47.49	$58.05	$327.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $48.77	Facility		$39.47	$39.47	$48.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $33.56 / $48.77	Professional		$33.56	$33.56	$48.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $66.84 / $112.68	Facility		$38.71	$66.84	$112.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $67.04 / $118.33	Professional		$39.06	$67.04	$118.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $61.09 / $69.77	Professional		$49.98	$61.09	$69.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.18 / $64.19 / $65.73	Facility		$52.18	$64.19	$65.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $65.73 / $65.73	Professional		$57.43	$65.73	$65.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $57.55 / $106.43	Facility		$54.56	$57.55	$106.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $62.26 / $94.47	Professional		$54.56	$62.26	$94.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $55.87 / $72.30	Professional		$52.21	$55.87	$72.30
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.92 / $53.18	Professional		$25.77	$27.92	$53.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $56.20 / $56.20	Professional		$41.96	$56.20	$56.20