Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $80.22 / $233.51	Facility		$39.84	$80.22	$233.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $39.84 / $71.63	Professional		$26.93	$39.84	$71.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $71.05 / $183.82	Facility		$44.50	$71.05	$183.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $87.88 / $386.73	Professional		$38.14	$87.88	$386.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $86.78 / $111.76	Facility		$24.10	$86.78	$111.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $44.93 / $57.63	Professional		$22.33	$44.93	$57.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $62.30 / $116.73	Facility		$42.16	$62.30	$116.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $69.25 / $114.43	Professional		$42.16	$69.25	$114.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $41.49 / $75.00	Professional		$37.72	$41.49	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $42.38 / $80.23	Facility		$42.38	$42.38	$80.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $74.17 / $127.14	Facility		$42.38	$74.17	$127.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $38.14 / $38.14	Professional		$38.14	$38.14	$38.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $69.55 / $116.55	Facility		$44.50	$69.55	$116.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $82.17 / $98.30	Professional		$46.87	$82.17	$98.30
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $29.03 / $64.00	Professional		$25.43	$29.03	$64.00