Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $42.83 / $69.65	Facility		$31.40	$42.83	$69.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $25.85 / $42.68	Professional		$22.08	$25.85	$42.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.50 / $48.79 / $109.00	Facility		$30.50	$48.79	$109.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $54.78 / $198.90	Professional		$30.51	$54.78	$198.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $42.39 / $73.15	Professional		$25.60	$42.39	$73.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $37.50 / $66.39	Facility		$22.72	$37.50	$66.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $36.00 / $59.06	Professional		$22.32	$36.00	$59.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $52.93 / $93.56	Professional		$9.69	$52.93	$93.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $47.57 / $48.24	Facility		$35.28	$47.57	$48.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $42.84 / $65.45	Facility		$32.61	$42.84	$65.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $54.78 / $65.56	Professional		$34.10	$54.78	$65.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $35.96 / $65.68	Facility		$29.96	$35.96	$65.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $46.80 / $61.44	Professional		$33.26	$46.80	$61.44
United Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $25.62 / $25.62	Facility		$20.96	$25.62	$25.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $39.59 / $69.52	Professional		$25.96	$39.59	$69.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $25.20 / $25.20	Professional		$19.88	$25.20	$25.20