Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $109.27 / $230.19	Facility		$32.97	$109.27	$230.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $32.97 / $34.04	Professional		$22.11	$32.97	$34.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $56.14 / $144.97	Facility		$36.84	$56.14	$144.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $72.66 / $263.18	Professional		$31.58	$72.66	$263.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $74.59 / $90.61	Facility		$36.50	$74.59	$90.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $35.09 / $59.65	Facility		$31.58	$35.09	$59.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $35.09 / $87.72	Professional		$31.58	$35.09	$87.72
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 $31.58 / $38.60 / $61.41	Facility		$31.58	$38.60	$61.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $61.41 / $108.78	Facility		$35.09	$61.41	$108.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $43.86 / $52.99	Professional		$31.58	$43.86	$52.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $57.58 / $96.50	Facility		$36.84	$57.58	$96.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $68.02 / $81.27	Professional		$38.81	$68.02	$81.27
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $42.11 / $42.11	Facility		$35.09	$42.11	$42.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $39.29	Professional		$14.74	$14.74	$39.29