Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $56.14 / $143.65	Facility		$24.51	$56.14	$143.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $24.84 / $371.68	Professional		$20.17	$24.84	$371.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $45.62 / $233.00	Facility		$27.37	$45.62	$233.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $50.98 / $810.43	Professional		$22.16	$50.98	$810.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $47.28 / $76.28	Facility		$18.05	$47.28	$76.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $29.37 / $38.32	Professional		$16.20	$29.37	$38.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $38.19 / $80.48	Facility		$26.07	$38.19	$80.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $45.82 / $80.48	Professional		$26.07	$45.82	$80.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $25.52 / $75.00	Professional		$23.20	$25.52	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $55.35	Facility		$26.07	$26.07	$55.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $45.62 / $78.20	Facility		$26.07	$45.62	$78.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $23.46 / $23.46	Professional		$23.46	$23.46	$23.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $43.02 / $71.69	Facility		$27.37	$43.02	$71.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $50.51 / $60.37	Professional		$28.83	$50.51	$60.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $14.91 / $29.20	Professional		$10.95	$14.91	$29.20