Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $40.72 / $61.10	Facility		$40.72	$40.72	$61.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $26.85 / $40.72	Professional		$20.67	$26.85	$40.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $90.00 / $161.41	Facility		$61.23	$90.00	$161.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $78.28 / $294.00	Professional		$27.01	$78.28	$294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $2.33 / $65.08	Facility		$1.06	$2.33	$65.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $30.03 / $45.12	Professional		$12.53	$30.03	$45.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $42.48 / $86.06	Facility		$24.49	$42.48	$86.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $43.68 / $86.06	Professional		$24.49	$43.68	$86.06
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 $41.80 / $50.21 / $67.67	Facility		$41.80	$50.21	$67.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $33.07 / $33.07	Professional		$33.07	$33.07	$33.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $82.34 / $160.47	Facility		$47.86	$82.34	$160.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $65.95 / $86.76	Professional		$47.12	$65.95	$86.76
United Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $21.81 / $22.38	Facility		$20.90	$21.81	$22.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $15.31 / $36.56	Professional		$10.38	$15.31	$36.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $14.83	Professional		$14.83	$14.83	$14.83