Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $40.72 / $100.00	Facility		$40.72	$40.72	$100.00
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 $150.53 / $450.61 / $925.91	Facility		$150.53	$450.61	$925.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $75.45 / $294.00	Professional		$19.02	$75.45	$294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $2.33 / $64.77	Facility		$1.06	$2.33	$64.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $29.24 / $45.12	Professional		$12.53	$29.24	$45.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $43.68 / $105.81	Facility		$22.04	$43.68	$105.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $43.68 / $86.06	Professional		$22.32	$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 / $198.84	Facility		$41.80	$50.21	$198.84
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 $289.37 / $473.30 / $920.49	Facility		$289.37	$473.30	$920.49
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 Professional Modifier Low / Median / High Price $9.86 / $15.31 / $36.45	Professional		$9.86	$15.31	$36.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $14.83	Professional		$14.83	$14.83	$14.83