Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $46.22 / $165.47	Facility		$28.23	$46.22	$165.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $28.23 / $46.22	Professional		$19.10	$28.23	$46.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $48.05 / $124.07	Facility		$31.53	$48.05	$124.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $63.68 / $225.23	Professional		$27.03	$63.68	$225.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $48.41 / $77.54	Facility		$13.88	$48.41	$77.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $31.85 / $41.10	Professional		$13.94	$31.85	$41.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $37.27 / $83.38	Facility		$27.03	$37.27	$83.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $42.75 / $83.38	Professional		$27.89	$42.75	$83.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $29.40 / $75.00	Professional		$26.73	$29.40	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $63.06	Facility		$30.03	$30.03	$63.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $50.76 / $90.09	Facility		$30.03	$50.76	$90.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $27.03	Professional		$27.03	$27.03	$27.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $48.05 / $82.58	Facility		$31.53	$48.05	$82.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $58.54 / $69.66	Professional		$33.21	$58.54	$69.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $12.61 / $33.63	Professional		$11.77	$12.61	$33.63