Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $51.48 / $287.80	Facility		$4.30	$51.48	$287.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $9.19 / $82.67	Professional		$4.63	$9.19	$82.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $6.99 / $10.11	Professional		$5.36	$6.99	$10.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $92.67 / $92.67	Facility		$78.59	$92.67	$92.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $94.36 / $360.95	Professional		$8.61	$94.36	$360.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $51.46 / $146.63	Facility		$6.79	$51.46	$146.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $46.76 / $147.04	Professional		$6.83	$46.76	$147.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $110.11 / $187.98	Professional		$18.09	$110.11	$187.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $110.55 / $115.24	Facility		$63.84	$110.55	$115.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.65 / $75.65 / $78.59	Facility		$75.65	$75.65	$78.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $67.56 / $144.49	Professional		$8.86	$67.56	$144.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $21.19 / $130.63	Professional		$8.46	$21.19	$130.63
United Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $95.70 / $160.71	Professional		$62.40	$95.70	$160.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $46.93 / $46.93	Professional		$46.93	$46.93	$46.93