Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $47.24 / $49.32	Facility		$20.81	$47.24	$49.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $46.00 / $87.96	Professional		$20.81	$46.00	$87.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.87 / $78.36 / $199.67	Facility		$49.87	$78.36	$199.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $31.94 / $461.14	Professional		$30.28	$31.94	$461.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $57.92 / $126.82	Facility		$35.00	$57.92	$126.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $59.16 / $126.82	Professional		$35.64	$59.16	$126.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $32.82 / $60.00	Professional		$32.05	$32.82	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $36.47 / $40.11	Facility		$35.61	$36.47	$40.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $25.97 / $25.97	Professional		$25.97	$25.97	$25.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $63.88 / $94.75	Facility		$31.94	$63.88	$94.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $35.61 / $40.96	Professional		$30.28	$35.61	$40.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $31.00 / $36.47	Professional		$29.45	$31.00	$36.47
United Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $18.20 / $29.51	Professional		$15.47	$18.20	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $36.47	Professional		$31.00	$31.00	$36.47