Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $26.57 / $64.26	Facility		$25.64	$26.57	$64.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $31.89 / $56.71	Professional		$25.64	$31.89	$56.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $55.48 / $59.98	Professional		$28.83	$55.48	$59.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $154.90 / $154.90	Facility		$57.90	$154.90	$154.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $72.20 / $261.45	Professional		$42.44	$72.20	$261.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $34.09	Professional		$28.57	$28.57	$34.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.69 / $57.42 / $83.53	Facility		$30.69	$57.42	$83.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $53.20 / $83.53	Professional		$29.72	$53.20	$83.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $52.28 / $91.09	Professional		$9.17	$52.28	$91.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $63.07 / $64.98	Facility		$42.20	$63.07	$64.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Facility		$43.49	$43.49	$43.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $71.98 / $87.25	Professional		$44.33	$71.98	$87.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $61.14 / $82.35	Professional		$42.97	$61.14	$82.35
United Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $53.34 / $95.56	Professional		$34.92	$53.34	$95.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $26.50 / $33.92	Professional		$26.50	$26.50	$33.92