Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $29.76 / $44.64	Facility		$29.76	$29.76	$44.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.73 / $29.76	Professional		$15.14	$19.73	$29.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $450.61 / $925.91	Facility		$103.90	$450.61	$925.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $58.35 / $215.40	Professional		$20.11	$58.35	$215.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $1.69 / $47.13	Facility		$0.77	$1.69	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $22.11 / $33.06	Professional		$9.08	$22.11	$33.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $31.92 / $75.40	Facility		$16.59	$31.92	$75.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $31.92 / $62.89	Professional		$16.59	$31.92	$62.89
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 $30.80 / $36.99 / $147.04	Facility		$30.80	$36.99	$147.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $24.23 / $99.90	Professional		$24.23	$24.23	$99.90
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 $34.65 / $48.19 / $63.57	Professional		$34.65	$48.19	$63.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $11.22 / $26.71	Professional		$7.28	$11.22	$26.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $10.80	Professional		$6.72	$6.72	$10.80