Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $33.17 / $75.83	Facility		$18.07	$33.17	$75.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $18.07 / $30.77	Professional		$12.32	$18.07	$30.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $552.16 / $1,080.21	Facility		$55.00	$552.16	$1,080.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $29.79 / $297.00	Professional		$19.39	$29.79	$297.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.82 / $7.82 / $13.03	Facility		$7.82	$7.82	$13.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $28.40 / $44.83	Professional		$18.23	$28.40	$44.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $26.82 / $45.93	Facility		$11.92	$26.82	$45.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $26.53 / $39.17	Professional		$13.64	$26.53	$39.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $28.36 / $33.40	Facility		$19.89	$28.36	$33.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $19.93 / $20.57	Facility		$6.05	$19.93	$20.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $28.50 / $39.85	Professional		$20.57	$28.50	$39.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.51 / $564.70 / $1,080.21	Facility		$426.51	$564.70	$1,080.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $26.47 / $36.95	Professional		$19.39	$26.47	$36.95
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $910.00 / $5,793.00	Facility		$190.00	$910.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $32.51 / $43.87	Professional		$19.80	$32.51	$43.87