Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $79.30 / $248.54	Facility		$34.81	$79.30	$248.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $33.02 / $67.88	Professional		$22.40	$33.02	$67.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $60.92 / $404.64	Facility		$36.54	$60.92	$404.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $77.95 / $386.73	Professional		$34.32	$77.95	$386.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $71.28 / $101.84	Facility		$22.25	$71.28	$101.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $38.92 / $47.35	Professional		$20.02	$38.92	$47.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $51.17 / $99.28	Facility		$34.81	$51.17	$99.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $63.36 / $104.26	Professional		$34.81	$63.36	$104.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $34.07 / $75.00	Professional		$30.98	$34.07	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $34.81 / $65.90	Facility		$34.81	$34.81	$65.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $60.92 / $104.43	Facility		$34.81	$60.92	$104.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $31.33	Professional		$31.33	$31.33	$31.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $57.42 / $95.73	Facility		$36.54	$57.42	$95.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $68.02 / $81.27	Professional		$38.50	$68.02	$81.27
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $52.57	Professional		$20.89	$26.30	$52.57