Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.94 / $61.86 / $109.27	Facility		$37.94	$61.86	$109.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.68 / $116.18	Professional		$33.88	$39.68	$116.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $125.07 / $514.16	Facility		$43.04	$125.07	$514.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $77.19 / $787.00	Professional		$47.04	$77.19	$787.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $69.23 / $105.24	Professional		$42.75	$69.23	$105.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $65.37 / $104.06	Facility		$39.36	$65.37	$104.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $67.42 / $104.06	Professional		$39.46	$67.42	$104.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $55.74 / $92.07	Professional		$8.75	$55.74	$92.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $62.58 / $76.64	Facility		$45.57	$62.58	$76.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $43.04 / $45.70	Facility		$43.04	$43.04	$45.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $76.23 / $93.73	Professional		$47.04	$76.23	$93.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $19.39 / $19.39	Facility		$19.39	$19.39	$19.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $65.18 / $88.55	Professional		$43.89	$65.18	$88.55
United Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $36.11 / $89.35	Professional		$32.84	$36.11	$89.35