Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.07 / $62.16 / $102.89	Facility		$34.07	$62.16	$102.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $21.91 / $34.07	Professional		$17.17	$21.91	$34.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $113.65 / $217.40	Facility		$78.37	$113.65	$217.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $68.33 / $244.50	Professional		$30.00	$68.33	$244.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.94 / $45.47	Facility		$0.88	$1.94	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $26.65 / $37.52	Professional		$11.15	$26.65	$37.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $35.64 / $76.55	Facility		$20.75	$35.64	$76.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $36.92 / $71.98	Professional		$20.75	$36.92	$71.98
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 $34.65 / $41.62 / $61.00	Facility		$34.65	$41.62	$61.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $27.51 / $27.51	Professional		$27.51	$27.51	$27.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $110.90 / $216.12	Facility		$64.42	$110.90	$216.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $55.17 / $72.16	Professional		$39.27	$55.17	$72.16
United Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $12.73 / $30.32	Professional		$8.94	$12.73	$30.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $12.38	Professional		$6.72	$6.72	$12.38