Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.74 / $59.40 / $185.14	Facility		$34.74	$59.40	$185.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $34.74 / $73.61	Professional		$21.15	$34.74	$73.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.30 / $156.63 / $164.49	Facility		$45.30	$156.63	$164.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $71.78 / $333.00	Professional		$44.33	$71.78	$333.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $52.77 / $84.53	Facility		$12.95	$52.77	$84.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $33.89 / $41.03	Professional		$15.99	$33.89	$41.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $61.83 / $83.17	Facility		$29.14	$61.83	$83.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $67.58 / $90.56	Professional		$31.31	$67.58	$90.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $52.78 / $92.27	Professional		$8.91	$52.78	$92.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $61.64 / $67.00	Facility		$44.57	$61.64	$67.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $43.94 / $45.30	Facility		$43.94	$43.94	$45.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $74.93 / $90.71	Professional		$45.30	$74.93	$90.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.81 / $44.81 / $44.81	Facility		$44.81	$44.81	$44.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $64.75 / $80.20	Professional		$44.81	$64.75	$80.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $20.79 / $45.05	Professional		$17.55	$20.79	$45.05