Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $47.39 / $71.09	Facility		$47.39	$47.39	$71.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $31.32 / $47.39	Professional		$23.87	$31.32	$47.39
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 $18.66 / $88.15 / $343.50	Professional		$18.66	$88.15	$343.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.72 / $75.43	Facility		$1.23	$2.72	$75.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $34.99 / $52.71	Professional		$14.53	$34.99	$52.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $50.82 / $120.30	Facility		$26.33	$50.82	$120.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $50.82 / $100.12	Professional		$26.33	$50.82	$100.12
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 $48.95 / $58.80 / $231.96	Facility		$48.95	$58.80	$231.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $64.90 / $64.90	Professional		$64.90	$64.90	$64.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Professional		$38.64	$38.64	$38.64
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 $54.98 / $76.76 / $101.26	Professional		$54.98	$76.76	$101.26
United Facility/Professional Facility Modifier Low / Median / High Price $482.78 / $631.14 / $980.35	Facility		$482.78	$631.14	$980.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $17.89 / $42.59	Professional		$11.04	$17.89	$42.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.28 / $17.28	Professional		$17.28	$17.28	$17.28