Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $34.77	Facility		$34.77	$34.77	$34.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $31.81 / $40.43	Professional		$23.72	$31.81	$40.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $342.77 / $342.77	Facility		$38.86	$342.77	$342.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $67.73 / $304.74	Professional		$39.72	$67.73	$304.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $53.33 / $88.28	Professional		$30.04	$53.33	$88.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $60.45 / $78.45	Facility		$29.45	$60.45	$78.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $61.70 / $78.61	Professional		$29.45	$61.70	$78.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $45.00 / $75.00	Professional		$5.79	$45.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $52.42 / $55.61	Facility		$36.52	$52.42	$55.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $37.93 / $38.96	Facility		$37.93	$37.93	$38.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $65.27 / $79.02	Professional		$44.39	$65.27	$79.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $25.87 / $25.87	Facility		$25.87	$25.87	$25.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $57.44 / $79.09	Professional		$42.23	$57.44	$79.09
United Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $28.97 / $35.76	Facility		$6.79	$28.97	$35.76
United Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $60.32 / $150.16	Professional		$47.40	$60.32	$150.16