Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.51 / $114.33	Facility		$20.17	$20.51	$114.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $17.25 / $21.45	Professional		$13.05	$17.25	$21.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $85.43 / $85.43	Facility		$29.45	$85.43	$85.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $28.95 / $172.50	Professional		$18.91	$28.95	$172.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $34.45 / $64.09	Professional		$20.28	$34.45	$64.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $25.88 / $51.96	Facility		$19.32	$25.88	$51.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $25.88 / $47.12	Professional		$19.14	$25.88	$47.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $13.54 / $16.61	Professional		$11.07	$13.54	$16.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $42.50 / $43.55	Facility		$27.32	$42.50	$43.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $29.45 / $29.45	Facility		$29.45	$29.45	$29.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $39.61 / $55.82	Professional		$27.56	$39.61	$55.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Facility		$42.60	$42.60	$42.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $22.08 / $32.38	Professional		$18.91	$22.08	$32.38
United Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $23.46 / $61.80	Professional		$21.69	$23.46	$61.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $20.94 / $22.39	Professional		$17.67	$20.94	$22.39