Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $41.27 / $120.78	Facility		$20.60	$41.27	$120.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $20.60 / $42.74	Professional		$19.10	$20.60	$42.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $38.36 / $104.12	Facility		$23.02	$38.36	$104.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $43.04 / $180.90	Professional		$19.73	$43.04	$180.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $36.36 / $64.13	Facility		$13.88	$36.36	$64.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $24.60 / $29.93	Professional		$12.56	$24.60	$29.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $29.70 / $67.78	Facility		$21.92	$29.70	$67.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $35.64 / $65.37	Professional		$21.92	$35.64	$65.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $21.46 / $75.00	Professional		$19.51	$21.46	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $21.92 / $46.03	Facility		$21.92	$21.92	$46.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $38.36 / $65.76	Facility		$21.92	$38.36	$65.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Professional		$19.73	$19.73	$19.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $35.97 / $60.28	Facility		$23.02	$35.97	$60.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $42.43 / $51.08	Professional		$24.24	$42.43	$51.08
United Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $26.30 / $26.30	Facility		$21.92	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.46 / $26.30	Professional		$9.21	$11.46	$26.30