Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.26 / $61.71 / $224.26	Facility		$38.26	$61.71	$224.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $38.26 / $61.71	Professional		$20.35	$38.26	$61.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $65.12 / $168.15	Facility		$42.74	$65.12	$168.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $85.00 / $386.73	Professional		$36.63	$85.00	$386.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $83.35 / $105.84	Facility		$18.54	$83.35	$105.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $42.93 / $55.39	Professional		$18.59	$42.93	$55.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $52.32 / $108.04	Facility		$35.34	$52.32	$108.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $60.47 / $109.97	Professional		$36.63	$60.47	$109.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $39.84 / $75.00	Professional		$36.22	$39.84	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $85.47	Facility		$40.70	$40.70	$85.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $67.78 / $122.10	Facility		$40.70	$67.78	$122.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $36.63 / $36.63	Professional		$36.63	$36.63	$36.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $65.12 / $111.93	Facility		$42.74	$65.12	$111.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $79.34 / $94.43	Professional		$45.01	$79.34	$94.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $24.42 / $55.17	Professional		$22.34	$24.42	$55.17