Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $42.95 / $44.84	Facility		$18.92	$42.95	$44.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $20.74 / $58.40	Professional		$15.93	$20.74	$58.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $46.03 / $46.03	Professional		$46.03	$46.03	$46.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.36 / $71.28 / $155.28	Facility		$45.36	$71.28	$155.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.42 / $335.71	Professional		$27.54	$28.42	$335.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Professional		$13.54	$13.54	$13.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $52.96 / $92.61	Facility		$30.24	$52.96	$92.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $52.96 / $92.61	Professional		$32.58	$52.96	$92.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.86 / $60.00	Professional		$29.16	$29.86	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $33.18 / $36.50	Facility		$32.40	$33.18	$36.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $58.10 / $86.18	Facility		$29.05	$58.10	$86.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.40 / $37.26	Professional		$27.54	$32.40	$37.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $28.20 / $33.18	Professional		$26.79	$28.20	$33.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $16.55 / $26.84	Professional		$13.48	$16.55	$26.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.20 / $33.18	Professional		$28.20	$28.20	$33.18