Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $72.20 / $193.35	Facility		$32.97	$72.20	$193.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $32.97 / $51.93	Professional		$18.60	$32.97	$51.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $61.41 / $167.46	Facility		$36.84	$61.41	$167.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $62.24 / $384.23	Professional		$31.58	$62.24	$384.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $63.64 / $102.65	Facility		$24.31	$63.64	$102.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $39.29 / $51.60	Professional		$21.84	$39.29	$51.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $51.35 / $108.42	Facility		$35.09	$51.35	$108.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $61.61 / $108.42	Professional		$35.09	$61.61	$108.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $37.23 / $75.00	Professional		$34.35	$37.23	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $73.69	Facility		$35.09	$35.09	$73.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $61.41 / $105.27	Facility		$35.09	$61.41	$105.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $43.86 / $52.99	Professional		$31.58	$43.86	$52.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $57.90 / $96.50	Facility		$36.84	$57.90	$96.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $68.02 / $81.27	Professional		$40.92	$68.02	$81.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $39.29	Professional		$14.74	$14.74	$39.29