Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $19.01 / $21.47	Facility		$19.01	$19.01	$21.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $23.52 / $36.72	Professional		$18.71	$23.52	$36.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $64.31 / $64.31	Professional		$59.24	$64.31	$64.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $151.53 / $151.53	Facility		$34.88	$151.53	$151.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $47.44 / $187.35	Professional		$27.06	$47.44	$187.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $35.22	Professional		$29.16	$29.16	$35.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $28.43 / $56.10	Facility		$20.77	$28.43	$56.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $27.47 / $50.35	Professional		$20.44	$27.47	$50.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $50.55 / $87.94	Professional		$9.84	$50.55	$87.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $48.91 / $52.36	Facility		$31.60	$48.91	$52.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $34.88 / $34.88	Facility		$34.88	$34.88	$34.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $50.88 / $66.13	Professional		$34.65	$50.88	$66.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.15 / $198.15 / $304.01	Facility		$198.15	$198.15	$304.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $42.43 / $58.02	Professional		$31.42	$42.43	$58.02
United Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $44.76 / $73.27	Professional		$31.08	$44.76	$73.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $32.02 / $32.02	Professional		$27.05	$32.02	$32.02