Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $75.58 / $193.35	Facility		$32.97	$75.58	$193.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $32.97 / $72.20	Professional		$24.82	$32.97	$72.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $58.49 / $166.68	Facility		$36.84	$58.49	$166.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $72.06 / $263.18	Professional		$31.59	$72.06	$263.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.93 / $63.64 / $102.65	Facility		$25.93	$63.64	$102.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $39.29 / $50.84	Professional		$21.84	$39.29	$50.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $51.58 / $108.42	Facility		$35.09	$51.58	$108.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $62.10 / $108.42	Professional		$35.09	$62.10	$108.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $73.69	Facility		$35.09	$35.09	$73.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $61.41 / $105.27	Facility		$35.09	$61.41	$105.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $43.86 / $52.99	Professional		$31.58	$43.86	$52.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $57.90 / $96.50	Facility		$36.84	$57.90	$96.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $68.02 / $81.27	Professional		$40.92	$68.02	$81.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.05 / $39.29	Professional		$14.74	$20.05	$39.29