Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $32.86 / $54.45	Facility		$32.86	$32.86	$54.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $53.79 / $80.38	Professional		$32.86	$53.79	$80.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $58.79 / $60.24	Professional		$58.79	$58.79	$60.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $193.75 / $193.75	Facility		$104.86	$193.75	$193.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $122.32 / $411.10	Professional		$60.49	$122.32	$411.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $93.36 / $159.18	Facility		$48.16	$93.36	$159.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $88.45 / $152.74	Professional		$45.77	$88.45	$152.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $106.67 / $185.67	Professional		$18.41	$106.67	$185.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.12 / $124.62 / $129.97	Facility		$90.12	$124.62	$129.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $104.66 / $168.26	Professional		$69.70	$104.66	$168.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.66 / $374.61 / $478.95	Facility		$340.66	$374.61	$478.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $91.63 / $147.34	Professional		$58.71	$91.63	$147.34
United Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $93.50 / $179.56	Professional		$61.63	$93.50	$179.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $53.01 / $70.26	Professional		$53.01	$53.01	$70.26