Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $43.19 / $110.48	Facility		$18.85	$43.19	$110.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $41.27	Professional		$18.85	$18.85	$41.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $35.09 / $95.52	Facility		$21.05	$35.09	$95.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $43.71 / $164.83	Professional		$18.85	$43.71	$164.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $36.36 / $58.64	Facility		$13.88	$36.36	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $22.40 / $27.25	Professional		$12.56	$22.40	$27.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $29.70 / $62.68	Facility		$20.05	$29.70	$62.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $35.64 / $62.68	Professional		$20.05	$35.64	$62.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $19.62 / $75.00	Professional		$17.84	$19.62	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $42.11	Facility		$20.05	$20.05	$42.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $35.09 / $60.15	Facility		$20.05	$35.09	$60.15
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 $21.05 / $33.08 / $55.14	Facility		$21.05	$33.08	$55.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $39.03 / $46.44	Professional		$23.38	$39.03	$46.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.47 / $22.46	Professional		$8.42	$11.47	$22.46