Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $83.42 / $201.78	Facility		$34.42	$83.42	$201.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $35.75 / $91.90	Professional		$32.50	$35.75	$91.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $64.09 / $151.29	Facility		$38.45	$64.09	$151.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $75.14 / $274.64	Professional		$32.96	$75.14	$274.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.08 / $74.97 / $98.32	Facility		$38.08	$74.97	$98.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $41.12 / $52.03	Professional		$19.39	$41.12	$52.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $45.78 / $104.91	Facility		$36.27	$45.78	$104.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $53.83 / $101.57	Professional		$36.61	$53.83	$101.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $35.84 / $98.57	Professional		$32.59	$35.84	$98.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $76.90	Facility		$36.61	$36.61	$76.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $65.92 / $109.86	Facility		$36.61	$65.92	$109.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $45.78 / $55.30	Professional		$32.96	$45.78	$55.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $60.09 / $100.71	Facility		$38.45	$60.09	$100.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $71.38 / $85.14	Professional		$40.50	$71.38	$85.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $41.01	Professional		$15.38	$15.38	$41.01