Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.07 / $51.11 / $123.73	Facility		$34.07	$51.11	$123.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $22.90 / $34.07	Professional		$17.17	$22.90	$34.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.69 / $137.22 / $331.58	Facility		$80.69	$137.22	$331.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $65.23 / $244.50	Professional		$23.09	$65.23	$244.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.94 / $50.19	Facility		$0.88	$1.94	$50.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $25.44 / $37.52	Professional		$10.35	$25.44	$37.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $34.57 / $76.55	Facility		$17.25	$34.57	$76.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $35.64 / $71.98	Professional		$18.68	$35.64	$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 / $92.00	Facility		$34.65	$41.62	$92.00
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 / $162.47 / $329.64	Facility		$64.42	$162.47	$329.64
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 $8.27 / $12.73 / $30.32	Professional		$8.27	$12.73	$30.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $12.38	Professional		$12.38	$12.38	$12.38