Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $76.41 / $148.27	Facility		$26.91	$76.41	$148.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $21.53 / $40.61	Professional		$18.10	$21.53	$40.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $43.06 / $101.72	Facility		$28.26	$43.06	$101.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $52.31 / $362.00	Professional		$22.87	$52.31	$362.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $48.38 / $69.48	Facility		$13.14	$48.38	$69.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $28.39 / $36.63	Professional		$13.27	$28.39	$36.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $37.44 / $71.17	Facility		$24.18	$37.44	$71.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $40.49 / $72.81	Professional		$24.22	$40.49	$72.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $26.34 / $75.00	Professional		$23.95	$26.34	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $26.91 / $56.51	Facility		$26.91	$26.91	$56.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $47.09 / $80.73	Facility		$26.91	$47.09	$80.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $24.22 / $24.22	Professional		$24.22	$24.22	$24.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $43.06 / $74.00	Facility		$28.26	$43.06	$74.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $52.31 / $62.69	Professional		$29.76	$52.31	$62.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.14 / $39.13	Professional		$15.85	$16.14	$39.13