Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $23.04 / $176.67	Facility		$20.88	$23.04	$176.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $27.08 / $45.78	Professional		$20.88	$27.08	$45.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $50.21 / $51.02	Professional		$42.68	$50.21	$51.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $125.54 / $125.54	Facility		$50.00	$125.54	$125.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.08 / $208.88	Professional		$36.31	$63.08	$208.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $28.03	Professional		$24.70	$24.70	$28.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $59.94 / $132.66	Facility		$30.39	$59.94	$132.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $54.37 / $106.75	Professional		$25.34	$54.37	$106.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $53.05 / $92.31	Professional		$9.17	$53.05	$92.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $53.60 / $56.44	Facility		$38.76	$53.60	$56.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Facility		$38.04	$38.04	$38.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $59.61 / $75.29	Professional		$37.93	$59.61	$75.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $229.71 / $252.61 / $324.48	Facility		$229.71	$252.61	$324.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $50.55 / $68.62	Professional		$35.11	$50.55	$68.62
United Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $46.40 / $82.16	Professional		$29.95	$46.40	$82.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $27.14 / $29.42	Professional		$22.92	$27.14	$29.42