Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $41.06 / $175.56	Facility		$16.73	$41.06	$175.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $19.32 / $87.37	Professional		$13.14	$19.32	$87.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $328.62 / $328.62	Facility		$21.29	$328.62	$328.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $41.25 / $653.00	Professional		$25.58	$41.25	$653.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $36.90 / $63.91	Professional		$19.36	$36.90	$63.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $37.86 / $210.26	Facility		$16.57	$37.86	$210.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $37.86 / $188.68	Professional		$18.23	$37.86	$188.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $52.44 / $89.76	Professional		$9.02	$52.44	$89.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $30.60 / $177.51	Facility		$20.35	$30.60	$177.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $31.29 / $31.29	Professional		$31.29	$31.29	$31.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $21.29 / $24.68	Facility		$21.29	$21.29	$24.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $39.57 / $48.98	Professional		$26.81	$39.57	$48.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $21.71 / $21.71	Facility		$21.71	$21.71	$21.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $35.50 / $50.00	Professional		$21.71	$35.50	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $28.87 / $109.10	Professional		$18.80	$28.87	$109.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $22.26 / $22.26	Professional		$22.26	$22.26	$22.26