Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $46.22 / $164.20	Facility		$28.01	$46.22	$164.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $28.01 / $46.22	Professional		$19.10	$28.01	$46.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $47.68 / $123.12	Facility		$31.29	$47.68	$123.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $64.95 / $223.50	Professional		$26.82	$64.95	$223.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $48.04 / $76.95	Facility		$13.88	$48.04	$76.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $31.50 / $40.65	Professional		$13.94	$31.50	$40.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $36.94 / $82.62	Facility		$26.82	$36.94	$82.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $42.75 / $82.62	Professional		$27.89	$42.75	$82.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $29.17 / $75.00	Professional		$26.52	$29.17	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $29.80 / $62.58	Facility		$29.80	$29.80	$62.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $50.76 / $89.40	Facility		$29.80	$50.76	$89.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $26.82 / $26.82	Professional		$26.82	$26.82	$26.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $47.68 / $81.95	Facility		$31.29	$47.68	$81.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $57.92 / $69.66	Professional		$32.96	$57.92	$69.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $12.52 / $33.38	Professional		$11.77	$12.52	$33.38