Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $27.02 / $40.53	Facility		$27.02	$27.02	$40.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $17.89 / $27.02	Professional		$13.68	$17.89	$27.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $484.04 / $1,036.83	Facility		$90.00	$484.04	$1,036.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $51.58 / $195.00	Professional		$13.85	$51.58	$195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $1.55 / $43.37	Facility		$0.70	$1.55	$43.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $20.44 / $29.93	Professional		$8.35	$20.44	$29.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $29.64 / $68.62	Facility		$16.59	$29.64	$68.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $29.40 / $57.92	Professional		$16.59	$29.40	$57.92
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 $28.05 / $33.69 / $132.56	Facility		$28.05	$33.69	$132.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $28.05 / $28.05	Professional		$28.05	$28.05	$28.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $90.45	Professional		$21.94	$21.94	$90.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $313.88 / $502.69 / $944.95	Facility		$313.88	$502.69	$944.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $43.76 / $57.55	Professional		$31.42	$43.76	$57.55
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $10.16 / $24.18	Professional		$6.88	$10.16	$24.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94