Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $46.55 / $161.00	Facility		$27.47	$46.55	$161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $27.47 / $44.44	Professional		$14.60	$27.47	$44.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $47.95 / $120.72	Facility		$30.68	$47.95	$120.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $59.59 / $219.15	Professional		$26.30	$59.59	$219.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $48.98 / $75.44	Facility		$14.47	$48.98	$75.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $30.81 / $39.76	Professional		$14.46	$30.81	$39.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $35.92 / $80.34	Facility		$26.35	$35.92	$80.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $41.85 / $80.34	Professional		$28.83	$41.85	$80.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $29.22 / $61.36	Facility		$29.22	$29.22	$61.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $51.14 / $87.66	Facility		$29.22	$51.14	$87.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.53 / $44.12	Professional		$26.30	$36.53	$44.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $46.75 / $80.36	Facility		$30.68	$46.75	$80.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $56.57 / $68.11	Professional		$32.32	$56.57	$68.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.27 / $32.72	Professional		$12.27	$12.27	$32.72