Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $90.46 / $11,757.10	Facility		$52.29	$90.46	$11,757.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $51.83 / $5,130.00	Professional		$47.55	$51.83	$5,130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $43.28 / $43.28	Professional		$43.28	$43.28	$43.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $32.54 / $393.60	Facility		$19.34	$32.54	$393.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $52.31 / $160.44	Professional		$46.23	$52.31	$160.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $41.89 / $55.82	Facility		$34.69	$41.89	$55.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $54.45	Professional		$47.55	$47.55	$54.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $90.20 / $224.88	Facility		$47.55	$90.20	$224.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $95.67 / $209.89	Professional		$47.55	$95.67	$209.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $55.82 / $108.20	Professional		$27.91	$55.82	$108.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $48.43 / $121.38	Facility		$42.47	$48.43	$121.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $26.23 / $90.31	Facility		$12.11	$26.23	$90.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $43.52 / $67.08	Professional		$37.63	$43.52	$67.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $30.36 / $90.67	Facility		$19.34	$30.36	$90.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $52.31 / $57.06	Professional		$47.55	$52.31	$57.06
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $57.06	Professional		$47.55	$47.55	$57.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $34.69	Professional		$34.69	$34.69	$34.69