Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.04 / $30.04 / $30.04	Facility		$30.04	$30.04	$30.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $30.04 / $39.94	Professional		$14.32	$30.04	$39.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $165.02 / $165.02	Facility		$41.68	$165.02	$165.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $67.39 / $288.52	Professional		$26.83	$67.39	$288.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $52.58 / $58.10	Professional		$45.64	$52.58	$58.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.57 / $117.57 / $117.57	Professional		$117.57	$117.57	$117.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $55.00 / $67.00	Facility		$40.20	$55.00	$67.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $41.68 / $45.70	Facility		$41.68	$41.68	$45.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $66.89 / $93.73	Professional		$40.39	$66.89	$93.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $61.01 / $85.90	Professional		$42.97	$61.01	$85.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $22.98 / $91.18	Professional		$4.12	$22.98	$91.18