Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $71.62 / $261.58	Facility		$30.22	$71.62	$261.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $30.22 / $33.43	Professional		$18.77	$30.22	$33.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $38.09 / $43.88	Professional		$38.09	$38.09	$43.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $85.00 / $215.96	Facility		$44.85	$85.00	$215.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $53.47 / $214.83	Professional		$25.75	$53.47	$214.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.22	Professional		$16.22	$16.22	$22.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $50.79 / $87.46	Facility		$45.71	$50.79	$87.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.79 / $90.20	Professional		$45.71	$50.79	$90.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $49.01 / $95.16	Professional		$42.82	$49.01	$95.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $55.29 / $56.95	Facility		$38.45	$55.29	$56.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $44.85 / $98.62	Facility		$44.85	$44.85	$98.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $80.15 / $106.13	Professional		$53.47	$80.15	$106.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $58.43 / $111.01	Facility		$48.69	$58.43	$111.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $43.17 / $55.87	Professional		$41.01	$43.17	$55.87
United Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $27.14 / $37.33	Professional		$19.37	$27.14	$37.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $43.17 / $43.17	Professional		$25.00	$43.17	$43.17