Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $66.59 / $69.54	Facility		$29.34	$66.59	$69.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $43.70 / $107.25	Professional		$29.34	$43.70	$107.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $71.91 / $84.89	Professional		$29.40	$71.91	$84.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $104.44 / $317.45	Facility		$70.34	$104.44	$317.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $44.07 / $731.46	Professional		$42.70	$44.07	$731.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $87.42 / $201.09	Facility		$49.50	$87.42	$201.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $87.42 / $201.09	Professional		$50.41	$87.42	$201.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $55.26 / $60.00	Professional		$46.30	$55.26	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $51.45 / $56.60	Facility		$50.24	$51.45	$56.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $90.10 / $133.63	Facility		$45.05	$90.10	$133.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $50.24 / $57.78	Professional		$42.70	$50.24	$57.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $43.73 / $51.45	Professional		$41.54	$43.73	$51.45
United Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $25.66 / $41.62	Professional		$20.84	$25.66	$41.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $51.45	Professional		$43.73	$43.73	$51.45