Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $53.09 / $143.16	Facility		$20.54	$53.09	$143.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $18.85 / $39.10	Professional		$12.63	$18.85	$39.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $40.10 / $95.52	Facility		$21.05	$40.10	$95.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $22.87 / $150.38	Professional		$10.43	$22.87	$150.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $36.36 / $71.98	Facility		$13.88	$36.36	$71.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $23.26 / $37.71	Professional		$13.81	$23.26	$37.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $29.47 / $62.68	Facility		$20.05	$29.47	$62.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $35.54 / $62.68	Professional		$20.05	$35.54	$62.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $19.62 / $21.27	Professional		$14.27	$19.62	$21.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $43.05	Facility		$20.05	$20.05	$43.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $30.08 / $55.14	Facility		$20.05	$30.08	$55.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $33.08 / $55.14	Facility		$23.06	$33.08	$55.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $35.13 / $48.97	Professional		$18.16	$35.13	$48.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $22.46	Professional		$8.42	$8.42	$22.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $10.39	Professional		$9.02	$9.02	$10.39