Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $92.17 / $194.18	Facility		$27.82	$92.17	$194.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $27.82 / $28.71	Professional		$18.64	$27.82	$28.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $48.57 / $122.29	Facility		$31.08	$48.57	$122.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $61.59 / $222.00	Professional		$27.96	$61.59	$222.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $62.92 / $76.43	Facility		$30.78	$62.92	$76.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $29.60 / $50.32	Facility		$26.64	$29.60	$50.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $29.60 / $74.00	Professional		$26.64	$29.60	$74.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $32.56 / $51.80	Facility		$26.64	$32.56	$51.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $51.80 / $91.76	Facility		$29.60	$51.80	$91.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $37.00 / $44.70	Professional		$26.64	$37.00	$44.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $48.57 / $81.40	Facility		$31.08	$48.57	$81.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $57.60 / $68.89	Professional		$32.74	$57.60	$68.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $13.81 / $33.15	Professional		$12.43	$13.81	$33.15