Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $42.92 / $148.11	Facility		$25.27	$42.92	$148.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $25.27 / $43.19	Professional		$19.10	$25.27	$43.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $44.11 / $111.05	Facility		$28.22	$44.11	$111.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $56.05 / $201.60	Professional		$24.19	$56.05	$201.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $55.03 / $69.88	Facility		$13.88	$55.03	$69.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $28.39 / $36.63	Professional		$13.65	$28.39	$36.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $33.21 / $74.28	Facility		$25.42	$33.21	$74.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $38.70 / $74.28	Professional		$26.66	$38.70	$74.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $26.31 / $75.00	Professional		$23.92	$26.31	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $56.45	Facility		$26.88	$26.88	$56.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $47.04 / $80.64	Facility		$26.88	$47.04	$80.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $24.19 / $24.19	Professional		$24.19	$24.19	$24.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $43.01 / $73.92	Facility		$28.22	$43.01	$73.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $52.31 / $62.69	Professional		$29.73	$52.31	$62.69
United Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $32.26 / $32.26	Facility		$26.88	$32.26	$32.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.47 / $31.36	Professional		$11.29	$11.47	$31.36