Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $23.97 / $44.72	Facility		$11.76	$23.97	$44.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $18.28 / $30.54	Professional		$8.77	$18.28	$30.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $40.86 / $53.86	Facility		$23.56	$40.86	$53.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $25.39 / $169.00	Professional		$14.31	$25.39	$169.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $18.11 / $25.28	Facility		$9.19	$18.11	$25.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $26.66 / $53.55	Professional		$14.47	$26.66	$53.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $22.34 / $43.21	Facility		$14.32	$22.34	$43.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $23.23 / $43.03	Professional		$14.32	$23.23	$43.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $4.02 / $11.71	Professional		$0.55	$4.02	$11.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $32.15 / $35.51	Facility		$18.09	$32.15	$35.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $23.56 / $24.22	Facility		$23.56	$23.56	$24.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $24.49 / $43.21	Professional		$15.52	$24.49	$43.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $24.02 / $41.02	Professional		$14.54	$24.02	$41.02
United Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $32.82 / $49.21	Professional		$21.56	$32.82	$49.21