Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.99 / $56.99 / $386.07	Facility		$37.99	$56.99	$386.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $25.01 / $37.99	Professional		$19.21	$25.01	$37.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $450.61 / $925.91	Facility		$90.00	$450.61	$925.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $76.19 / $273.60	Professional		$31.95	$76.19	$273.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $2.15 / $60.34	Facility		$0.98	$2.15	$60.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $26.37 / $41.99	Professional		$11.62	$26.37	$41.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $41.16 / $95.72	Facility		$23.08	$41.16	$95.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $40.74 / $80.26	Professional		$23.08	$40.74	$80.26
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 $39.04 / $46.90 / $186.41	Facility		$39.04	$46.90	$186.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Professional		$30.78	$30.78	$30.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.37 / $473.30 / $920.49	Facility		$289.37	$473.30	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $61.51 / $80.75	Professional		$43.89	$61.51	$80.75
United Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $14.25 / $33.92	Professional		$9.60	$14.25	$33.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $13.82	Professional		$6.72	$6.72	$13.82