Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.46 / $78.36 / $222.28	Facility		$36.46	$78.36	$222.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $30.23 / $73.81	Professional		$15.84	$30.23	$73.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $82.09 / $195.32	Facility		$49.38	$82.09	$195.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $64.45 / $309.30	Professional		$36.26	$64.45	$309.30
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 $34.83 / $62.00 / $108.10	Professional		$34.83	$62.00	$108.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $52.89 / $99.20	Facility		$34.89	$52.89	$99.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $52.89 / $92.14	Professional		$34.72	$52.89	$92.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $49.73 / $90.24	Professional		$9.61	$49.73	$90.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $73.70 / $81.73	Facility		$55.00	$73.70	$81.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $66.34 / $98.05	Facility		$49.38	$66.34	$98.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $69.06 / $92.15	Professional		$50.77	$69.06	$92.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $54.93 / $101.26	Facility		$46.60	$54.93	$101.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $37.95 / $63.22	Professional		$36.04	$37.95	$63.22
United Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $39.70 / $94.84	Professional		$31.07	$39.70	$94.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $41.73 / $41.73	Professional		$37.42	$41.73	$41.73