Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $27.77 / $27.77	Facility		$27.77	$27.77	$27.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $24.33 / $27.77	Professional		$19.10	$24.33	$27.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $14.60 / $26.84	Professional		$14.60	$14.60	$26.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $142.63 / $142.63	Facility		$76.16	$142.63	$142.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $53.98 / $228.30	Professional		$26.39	$53.98	$228.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $45.10 / $73.52	Facility		$23.25	$45.10	$73.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $45.10 / $73.52	Professional		$23.54	$45.10	$73.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $54.04 / $92.07	Professional		$9.26	$54.04	$92.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $45.56 / $52.26	Facility		$33.11	$45.56	$52.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $31.26 / $35.65	Facility		$31.26	$31.26	$35.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $56.31 / $73.11	Professional		$36.69	$56.31	$73.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $46.28 / $67.00	Professional		$31.88	$46.28	$67.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $39.60 / $70.31	Professional		$23.10	$39.60	$70.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $31.45 / $31.45	Professional		$31.45	$31.45	$31.45