Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $23.27 / $209.33	Facility		$12.29	$23.27	$209.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $12.29 / $21.61	Professional		$6.54	$12.29	$21.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $21.45 / $103.33	Facility		$13.72	$21.45	$103.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $26.99 / $605.22	Professional		$11.26	$26.99	$605.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.99 / $26.78 / $36.28	Facility		$6.99	$26.78	$36.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $13.85 / $17.87	Professional		$6.90	$13.85	$17.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $19.09 / $36.38	Facility		$12.71	$19.09	$36.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $20.50 / $35.65	Professional		$12.71	$20.50	$35.65
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 $13.07 / $13.07 / $27.45	Facility		$13.07	$13.07	$27.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $22.87 / $39.21	Facility		$13.07	$22.87	$39.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $11.76	Professional		$11.76	$11.76	$11.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $20.91 / $35.94	Facility		$13.72	$20.91	$35.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $25.37 / $30.19	Professional		$14.46	$25.37	$30.19
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.42 / $19.73	Professional		$7.84	$8.42	$19.73