Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $53.59 / $112.90	Facility		$16.18	$53.59	$112.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $16.18 / $16.18	Professional		$12.05	$16.18	$16.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $28.24 / $71.09	Facility		$18.07	$28.24	$71.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $35.53 / $129.08	Professional		$17.02	$35.53	$129.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $36.59 / $44.45	Facility		$17.89	$36.59	$44.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.21 / $29.26	Facility		$15.49	$17.21	$29.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.21 / $43.02	Professional		$15.49	$17.21	$43.02
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 $15.49 / $18.93 / $30.12	Facility		$15.49	$18.93	$30.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $30.12 / $53.35	Facility		$17.21	$30.12	$53.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.51 / $25.99	Professional		$15.49	$21.51	$25.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $28.24 / $47.33	Facility		$18.07	$28.24	$47.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $33.67 / $42.33	Professional		$19.92	$33.67	$42.33
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $19.28	Professional		$7.23	$7.23	$19.28