Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $113.20 / $179.21	Facility		$35.39	$113.20	$179.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $18.10 / $24.35	Professional		$14.76	$18.10	$24.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $40.15 / $76.56	Facility		$26.36	$40.15	$76.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $58.05 / $188.25	Professional		$25.60	$58.05	$188.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $53.37 / $64.83	Facility		$26.11	$53.37	$64.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Professional		$30.75	$30.75	$30.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $25.10 / $40.15	Facility		$25.10	$25.10	$40.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.10 / $62.75	Professional		$25.10	$25.10	$62.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $27.61 / $43.93	Facility		$22.59	$27.61	$43.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $43.93 / $77.81	Facility		$25.10	$43.93	$77.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $31.38 / $37.90	Professional		$22.59	$31.38	$37.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $41.19 / $69.03	Facility		$26.36	$41.19	$69.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $42.18 / $64.95	Professional		$28.67	$42.18	$64.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $27.61	Professional		$10.54	$10.54	$27.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $11.30 / $11.30	Professional		$11.30	$11.30	$11.30