Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $76.05 / $189.71	Facility		$32.36	$76.05	$189.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $33.40 / $70.84	Professional		$26.65	$33.40	$70.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $60.25 / $163.92	Facility		$36.15	$60.25	$163.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $71.78 / $777.00	Professional		$32.19	$71.78	$777.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.83 / $70.50 / $100.71	Facility		$23.83	$70.50	$100.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $38.61 / $50.46	Professional		$21.47	$38.61	$50.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $50.61 / $106.38	Facility		$34.43	$50.61	$106.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $67.68 / $108.04	Professional		$34.43	$67.68	$108.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $33.70 / $75.00	Professional		$30.64	$33.70	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $34.43 / $72.30	Facility		$34.43	$34.43	$72.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $60.25 / $103.29	Facility		$34.43	$60.25	$103.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $30.99 / $30.99	Professional		$30.99	$30.99	$30.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $56.81 / $94.68	Facility		$36.15	$56.81	$94.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $66.67 / $79.72	Professional		$38.08	$66.67	$79.72
United Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $41.32 / $41.32	Facility		$34.43	$41.32	$41.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $28.19 / $53.60	Professional		$20.66	$28.19	$53.60