Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $33.75	Facility		$33.75	$33.75	$33.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $33.75 / $36.79	Professional		$10.09	$33.75	$36.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $70.00 / $111.48	Facility		$41.89	$70.00	$111.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $33.26 / $153.85	Professional		$16.82	$33.26	$153.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $101.06 / $122.76	Facility		$68.84	$101.06	$122.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $17.35 / $17.35	Professional		$17.35	$17.35	$17.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $85.04 / $157.11	Facility		$77.30	$85.04	$157.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $34.26 / $34.26	Professional		$34.26	$34.26	$34.26
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 $17.04 / $22.11 / $28.97	Facility		$17.04	$22.11	$28.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.08 / $51.64	Facility		$15.08	$15.08	$51.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.64 / $43.34	Professional		$17.35	$27.64	$43.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $82.34 / $161.41	Facility		$18.80	$82.34	$161.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $26.85 / $50.55	Professional		$17.77	$26.85	$50.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $9.91 / $30.08	Professional		$7.11	$9.91	$30.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $32.02 / $32.02	Professional		$32.02	$32.02	$32.02