Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $52.94 / $131.75	Facility		$27.85	$52.94	$131.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $22.44 / $60.04	Professional		$16.05	$22.44	$60.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.71 / $64.98 / $122.24	Facility		$31.71	$64.98	$122.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $53.04 / $325.02	Professional		$28.29	$53.04	$325.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $106.00 / $120.00	Facility		$60.00	$106.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $39.45 / $73.90	Professional		$22.50	$39.45	$73.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $29.64 / $63.16	Facility		$17.28	$29.64	$63.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.63 / $59.44	Professional		$18.20	$29.63	$59.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $15.58 / $19.12	Professional		$12.95	$15.58	$19.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $45.56 / $48.91	Facility		$32.79	$45.56	$48.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.71 / $43.97 / $64.98	Facility		$31.71	$43.97	$64.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $51.69 / $63.52	Professional		$33.39	$51.69	$63.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $36.45 / $59.30	Facility		$30.38	$36.45	$59.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $42.22 / $60.78	Professional		$28.88	$42.22	$60.78
United Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $38.89 / $67.45	Professional		$23.61	$38.89	$67.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $26.80 / $26.80	Professional		$24.13	$26.80	$26.80