Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $36.81 / $55.22	Facility		$36.81	$36.81	$55.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $24.22 / $36.81	Professional		$18.34	$24.22	$36.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $969.04 / $2,159.90	Facility		$99.83	$969.04	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $70.66 / $264.89	Professional		$22.09	$70.66	$264.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $2.08 / $58.47	Facility		$0.94	$2.08	$58.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $27.20 / $40.65	Professional		$11.26	$27.20	$40.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $39.89 / $93.18	Facility		$22.00	$39.89	$93.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $39.47 / $77.78	Professional		$22.00	$39.47	$77.78
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 $37.40 / $44.92 / $180.20	Facility		$37.40	$44.92	$180.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Professional		$29.80	$29.80	$29.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.17 / $1,101.83 / $2,147.26	Facility		$107.17	$1,101.83	$2,147.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $59.61 / $78.17	Professional		$42.50	$59.61	$78.17
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $13.79 / $34.54	Professional		$9.27	$13.79	$34.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $13.39	Professional		$13.39	$13.39	$13.39