Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $59.82 / $36,179.14	Facility		$33.78	$59.82	$36,179.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $34.28 / $55.28	Professional		$32.96	$34.28	$55.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $47.40 / $161.75	Facility		$31.09	$47.40	$161.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $36.26 / $1,942.31	Professional		$32.96	$36.26	$1,942.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $32.29 / $78.33	Facility		$31.10	$32.29	$78.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $40.43	Professional		$32.96	$32.96	$40.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $40.11 / $89.53	Facility		$29.55	$40.11	$89.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $38.84 / $72.81	Professional		$32.76	$38.84	$72.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $36.25 / $49.50	Professional		$32.96	$36.25	$49.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $37.36 / $68.64	Facility		$32.96	$37.36	$68.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $39.79 / $75.23	Facility		$27.98	$39.79	$75.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $41.13 / $74.34	Professional		$34.11	$41.13	$74.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $37.92 / $67.63	Facility		$31.60	$37.92	$67.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $36.26 / $39.56	Professional		$32.96	$36.26	$39.56
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Facility		$32.96	$32.96	$32.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $39.54	Professional		$32.96	$32.96	$39.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.96 / $32.96	Professional		$32.29	$32.96	$32.96