Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $43.48 / $150.37	Facility		$25.65	$43.48	$150.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $25.65 / $43.48	Professional		$19.10	$25.65	$43.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $44.78 / $112.75	Facility		$28.65	$44.78	$112.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $58.01 / $204.68	Professional		$24.56	$58.01	$204.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $55.88 / $70.95	Facility		$13.88	$55.88	$70.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $28.73 / $37.08	Professional		$13.83	$28.73	$37.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $33.89 / $75.80	Facility		$25.42	$33.89	$75.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $39.20 / $75.80	Professional		$26.97	$39.20	$75.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $26.71 / $75.00	Professional		$24.29	$26.71	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $27.29 / $57.31	Facility		$27.29	$27.29	$57.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $47.76 / $81.87	Facility		$27.29	$47.76	$81.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $24.56 / $24.56	Professional		$24.56	$24.56	$24.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $43.66 / $75.05	Facility		$28.65	$43.66	$75.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $53.20 / $63.47	Professional		$30.18	$53.20	$63.47
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $11.47 / $31.36	Professional		$11.46	$11.47	$31.36