Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $30.85 / $68.48	Professional		$30.71	$30.85	$68.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $43.81 / $43.81	Professional		$43.81	$43.81	$43.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $289.64 / $289.64	Facility		$59.86	$289.64	$289.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $47.77 / $69.59	Professional		$36.99	$47.77	$69.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Facility		$40.36	$40.36	$40.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $40.36 / $52.98	Professional		$34.31	$40.36	$52.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.65 / $61.65 / $61.65	Facility		$61.65	$61.65	$61.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $61.65 / $61.65	Professional		$61.65	$61.65	$61.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $49.74 / $59.79	Professional		$39.79	$49.74	$59.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.93 / $61.65 / $65.59	Facility		$56.93	$61.65	$65.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $61.65 / $62.73	Professional		$55.49	$61.65	$62.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $54.15 / $83.80	Facility		$54.15	$54.15	$83.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $50.88 / $68.84	Professional		$5.09	$50.88	$68.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $59.86 / $59.86	Facility		$59.86	$59.86	$59.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $5.36	Professional		$4.40	$4.40	$5.36
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.56 / $58.77	Professional		$29.51	$30.56	$58.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $47.77	Professional		$44.11	$44.11	$47.77