Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $43.19 / $125.35	Facility		$21.39	$43.19	$125.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $22.07 / $36.24	Professional		$19.10	$22.07	$36.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $39.81 / $107.35	Facility		$23.89	$39.81	$107.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $47.13 / $176.00	Professional		$20.48	$47.13	$176.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $36.68 / $64.36	Facility		$13.88	$36.68	$64.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $25.33 / $30.82	Professional		$12.56	$25.33	$30.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $31.50 / $70.30	Facility		$22.75	$31.50	$70.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $35.64 / $65.37	Professional		$22.75	$35.64	$65.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $22.27 / $75.00	Professional		$20.25	$22.27	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $22.75 / $47.78	Facility		$22.75	$22.75	$47.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $39.81 / $68.25	Facility		$22.75	$39.81	$68.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $20.48 / $20.48	Professional		$20.48	$20.48	$20.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $37.33 / $62.56	Facility		$23.89	$37.33	$62.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $44.24 / $52.63	Professional		$25.16	$44.24	$52.63
United Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $27.30 / $27.30	Facility		$22.75	$27.30	$27.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $11.47 / $27.30	Professional		$9.56	$11.47	$27.30