Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $32.94 / $54.69	Facility		$24.46	$32.94	$54.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $24.46 / $44.58	Professional		$17.25	$24.46	$44.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $200.00 / $2,006.25	Facility		$43.51	$200.00	$2,006.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $40.95 / $200.00	Professional		$25.14	$40.95	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $35.36 / $59.92	Professional		$21.07	$35.36	$59.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $42.09 / $498.53	Facility		$22.00	$42.09	$498.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $36.29 / $70.78	Professional		$17.98	$36.29	$70.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.48 / $60.00	Professional		$9.42	$11.48	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $36.03 / $58.71	Facility		$30.21	$36.03	$58.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.82 / $25.82	Facility		$25.14	$25.82	$25.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $41.93 / $51.00	Professional		$25.99	$41.93	$51.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $984.95 / $1,518.92 / $2,905.51	Facility		$984.95	$1,518.92	$2,905.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $36.15 / $48.29	Professional		$26.33	$36.15	$48.29
United Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $37.24 / $54.45	Professional		$20.85	$37.24	$54.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $19.00 / $19.00	Professional		$15.18	$19.00	$19.00