Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $116.21 / $216.90	Facility		$32.97	$116.21	$216.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $31.83 / $59.43	Professional		$18.60	$31.83	$59.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $57.58 / $167.46	Facility		$36.84	$57.58	$167.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $65.52 / $289.44	Professional		$31.58	$65.52	$289.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $63.64 / $102.65	Facility		$24.31	$63.64	$102.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $39.29 / $47.80	Professional		$21.84	$39.29	$47.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $51.35 / $108.42	Facility		$35.09	$51.35	$108.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $61.61 / $108.42	Professional		$35.09	$61.61	$108.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $34.35 / $75.00	Professional		$31.23	$34.35	$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 $31.58 / $35.09 / $88.83	Facility		$31.58	$35.09	$88.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $31.58 / $31.58	Professional		$31.58	$31.58	$31.58
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 / $66.37 / $81.27	Professional		$40.92	$66.37	$81.27
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $30.75 / $42.11	Professional		$21.05	$30.75	$42.11