Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.21 / $77.65 / $189.17	Facility		$33.21	$77.65	$189.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $28.49 / $49.54	Professional		$22.76	$28.49	$49.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $54.92 / $145.21	Facility		$35.14	$54.92	$145.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $65.55 / $397.00	Professional		$30.12	$65.55	$397.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $60.72 / $87.04	Facility		$17.38	$60.72	$87.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $35.31 / $45.57	Professional		$17.26	$35.31	$45.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $48.96 / $91.64	Facility		$31.62	$48.96	$91.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.00 / $90.65	Professional		$31.62	$51.00	$90.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $32.76 / $75.00	Professional		$29.79	$32.76	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $70.29	Facility		$33.47	$33.47	$70.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $58.57 / $100.41	Facility		$33.47	$58.57	$100.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $30.12 / $30.12	Professional		$30.12	$30.12	$30.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $53.55 / $92.04	Facility		$35.14	$53.55	$92.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $65.31 / $78.17	Professional		$37.02	$65.31	$78.17
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $20.54 / $45.37	Professional		$20.07	$20.54	$45.37