Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $31.84 / $102.81	Facility		$11.56	$31.84	$102.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $59.43 / $205.28	Professional		$39.67	$59.43	$205.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $66.05 / $149.69	Professional		$21.31	$66.05	$149.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $77.11 / $189.20 / $358.44	Facility		$77.11	$189.20	$358.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $74.84 / $506.84	Professional		$48.91	$74.84	$506.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $45.70 / $45.96	Facility		$26.31	$45.70	$45.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $79.70	Professional		$33.36	$33.36	$79.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $83.66 / $189.37	Facility		$41.40	$83.66	$189.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $83.66 / $140.66	Professional		$41.45	$83.66	$140.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $82.99 / $93.47	Professional		$74.69	$82.99	$93.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.50 / $79.25 / $88.06	Facility		$64.50	$79.25	$88.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $88.06 / $88.06	Professional		$66.05	$88.06	$88.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.11 / $98.90 / $172.00	Facility		$77.11	$98.90	$172.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $73.09	Professional		$73.09	$73.09	$73.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.82 / $86.00 / $86.00	Facility		$83.82	$86.00	$86.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $74.84 / $96.87	Professional		$69.95	$74.84	$96.87
United Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $33.01 / $62.87	Professional		$30.47	$33.01	$62.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $18.73 / $74.84	Professional		$18.73	$18.73	$74.84