Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $47.86 / $5,000.00	Facility		$28.33	$47.86	$5,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $26.54 / $35.38	Professional		$25.77	$26.54	$35.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $23.93	Professional		$23.93	$23.93	$23.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $35.24 / $311.20	Facility		$20.97	$35.24	$311.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $28.35 / $101.56	Professional		$25.52	$28.35	$101.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $23.00 / $53.88	Facility		$20.23	$23.00	$53.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $27.60	Professional		$25.77	$25.77	$27.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $28.68 / $132.18	Facility		$25.77	$28.68	$132.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $102.90	Professional		$25.77	$25.77	$102.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $28.34 / $70.00	Professional		$25.77	$28.34	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.86 / $28.63 / $71.79	Facility		$23.86	$28.63	$71.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $38.72 / $61.10	Facility		$19.36	$38.72	$61.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $28.86 / $44.48	Professional		$24.96	$28.86	$44.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $28.35 / $65.01	Facility		$20.97	$28.35	$65.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $28.35 / $30.92	Professional		$25.77	$28.35	$30.92
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $30.92	Professional		$25.77	$25.77	$30.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00