Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $90.05 / $174.74	Facility		$18.09	$90.05	$174.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $12.49 / $32.79	Professional		$7.06	$12.49	$32.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.50 / $19.71	Professional		$7.94	$10.50	$19.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $90.00 / $90.00	Facility		$15.89	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.80 / $107.70	Professional		$14.13	$30.80	$107.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $21.12 / $21.41	Facility		$21.12	$21.12	$21.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $15.42 / $21.12	Professional		$15.42	$15.42	$21.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $24.84 / $33.09	Facility		$11.47	$24.84	$33.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $24.84 / $33.51	Professional		$13.02	$24.84	$33.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $76.50	Professional		$45.00	$50.00	$76.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $24.44 / $119.58	Facility		$20.35	$24.44	$119.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $49.95	Professional		$16.91	$16.91	$49.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $18.48 / $33.75	Facility		$15.40	$18.48	$33.75
United Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $8.00 / $8.81	Facility		$6.30	$8.00	$8.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.81 / $13.35	Professional		$7.94	$8.81	$13.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13