Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $46.22 / $172.02	Facility		$29.35	$46.22	$172.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $29.35 / $46.22	Professional		$15.51	$29.35	$46.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $49.95 / $128.97	Facility		$32.78	$49.95	$128.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $66.51 / $234.15	Professional		$28.10	$66.51	$234.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $50.32 / $80.59	Facility		$13.88	$50.32	$80.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $32.89 / $42.44	Professional		$13.94	$32.89	$42.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $38.29 / $85.65	Facility		$27.89	$38.29	$85.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $44.80 / $85.65	Professional		$27.89	$44.80	$85.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $30.56 / $75.00	Professional		$27.79	$30.56	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $31.22 / $62.44	Facility		$31.22	$31.22	$62.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $50.76 / $93.66	Facility		$31.22	$50.76	$93.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $28.10 / $28.10	Professional		$28.10	$28.10	$28.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $49.95 / $85.86	Facility		$32.78	$49.95	$85.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $60.61 / $72.76	Professional		$34.53	$60.61	$72.76
United Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $37.46 / $37.46	Facility		$31.22	$37.46	$37.46
United Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $13.11 / $34.97	Professional		$11.93	$13.11	$34.97