Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.87 / $117.12 / $49,313.20	Facility		$64.87	$117.12	$49,313.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $63.31 / $13,440.00	Professional		$60.29	$63.31	$13,440.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $58.56 / $58.56	Professional		$58.56	$58.56	$58.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $84.99 / $296.75	Facility		$55.73	$84.99	$296.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $66.31 / $2,460.12	Professional		$60.29	$66.31	$2,460.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $57.60 / $139.68	Facility		$56.88	$57.60	$139.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $73.94	Professional		$60.29	$60.29	$73.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $72.97 / $165.88	Facility		$54.55	$72.97	$165.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $69.50 / $129.91	Professional		$58.38	$69.50	$129.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $65.28 / $80.00	Professional		$59.35	$65.28	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $68.25 / $125.40	Facility		$58.56	$68.25	$125.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $71.33 / $134.87	Facility		$50.16	$71.33	$134.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $73.36 / $132.59	Professional		$60.86	$73.36	$132.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.66 / $67.98 / $120.94	Facility		$56.66	$67.98	$120.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $66.31 / $72.34	Professional		$60.29	$66.31	$72.34
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $72.34	Professional		$60.29	$60.29	$72.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $60.29 / $60.29	Professional		$57.60	$60.29	$60.29