Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $51.00 / $63.75	Facility		$26.90	$51.00	$63.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $22.14 / $63.75	Professional		$15.77	$22.14	$63.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Professional		$44.00	$44.00	$44.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $85.00 / $160.57	Facility		$34.90	$85.00	$160.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $33.89 / $242.87	Professional		$22.14	$33.89	$242.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $31.55	Facility		$22.18	$22.18	$31.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $32.54	Professional		$16.19	$16.19	$32.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $37.88 / $103.23	Facility		$19.68	$37.88	$103.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $37.88 / $63.71	Professional		$19.76	$37.88	$63.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $37.57 / $42.31	Professional		$33.81	$37.57	$42.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $33.89 / $39.86	Facility		$29.20	$33.89	$39.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $39.86 / $39.86	Professional		$29.90	$39.86	$39.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $44.77 / $77.86	Facility		$34.90	$44.77	$77.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $33.09 / $53.97	Professional		$33.09	$33.09	$53.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.94 / $38.93 / $38.93	Facility		$37.94	$38.93	$38.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $33.89 / $43.86	Professional		$31.67	$33.89	$43.86
United Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $14.94 / $28.46	Professional		$13.79	$14.94	$28.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $13.02 / $18.11	Professional		$13.02	$13.02	$18.11