Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $104.55 / $601.47	Facility		$21.13	$104.55	$601.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $68.70 / $202.59	Professional		$20.13	$68.70	$202.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $37.49 / $237.31	Facility		$22.49	$37.49	$237.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $46.70 / $386.73	Professional		$20.01	$46.70	$386.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $43.85 / $68.76	Facility		$14.84	$43.85	$68.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $24.05 / $32.63	Professional		$13.28	$24.05	$32.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $31.49 / $66.19	Facility		$21.42	$31.49	$66.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $42.24 / $66.88	Professional		$21.42	$42.24	$66.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.96 / $75.00	Professional		$19.05	$20.96	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $21.42 / $45.10	Facility		$21.42	$21.42	$45.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $37.49 / $64.26	Facility		$21.42	$37.49	$64.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $19.28 / $19.28	Professional		$19.28	$19.28	$19.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $35.34 / $58.91	Facility		$22.49	$35.34	$58.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $41.63 / $49.54	Professional		$24.97	$41.63	$49.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $12.85 / $32.35	Professional		$12.85	$12.85	$32.35