Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $25.70 / $85.89	Facility		$13.40	$25.70	$85.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $14.19 / $30.42	Professional		$10.26	$14.19	$30.42
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $19.48 / $19.48 / $19.48	Professional	CO	$19.48	$19.48	$19.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $40.78 / $100.00	Facility		$19.48	$40.78	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $26.02 / $120.08	Professional		$14.49	$26.02	$120.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $108.00 / $118.00	Facility		$90.00	$108.00	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $45.00 / $105.33	Professional		$13.77	$45.00	$105.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $22.96 / $40.95	Facility		$14.57	$22.96	$40.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $22.40 / $38.79	Professional		$13.76	$22.40	$38.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $9.03 / $11.08	Professional		$7.74	$9.03	$11.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $28.81 / $36.18	Facility		$23.65	$28.81	$36.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $25.74 / $38.04	Facility		$19.48	$25.74	$38.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $27.36 / $36.09	Professional		$19.84	$27.36	$36.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $21.47 / $40.14	Facility		$18.21	$21.47	$40.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $14.84 / $24.72	Professional		$14.10	$14.84	$24.72
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $15.16 / $36.61	Professional		$12.10	$15.16	$36.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $15.81 / $15.81	Professional		$14.46	$15.81	$15.81