Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $23.11 / $34.67	Facility		$23.11	$23.11	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $15.27 / $23.11	Professional		$11.64	$15.27	$23.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.36 / $450.61 / $925.91	Facility		$100.36	$450.61	$925.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $44.26 / $165.90	Professional		$14.84	$44.26	$165.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $1.31 / $36.76	Facility		$0.59	$1.31	$36.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $16.07 / $25.46	Professional		$7.08	$16.07	$25.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $23.76 / $58.45	Facility		$10.88	$23.76	$58.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $23.76 / $48.82	Professional		$11.82	$23.76	$48.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.00 / $75.00	Professional		$40.00	$44.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $28.41 / $113.92	Facility		$23.65	$28.41	$113.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $18.66 / $76.95	Professional		$18.66	$18.66	$76.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.37 / $483.76 / $920.49	Facility		$289.37	$483.76	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $37.40 / $48.96	Professional		$26.80	$37.40	$48.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $8.64 / $21.64	Professional		$4.50	$8.64	$21.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $8.35	Professional		$6.72	$6.72	$8.35