Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $32.60 / $105.61	Facility		$16.93	$32.60	$105.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $15.29 / $38.64	Professional		$12.07	$15.29	$38.64
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $12.70 / $12.70 / $12.70	Professional	CQ	$12.70	$12.70	$12.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $51.24 / $100.00	Facility		$23.56	$51.24	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $32.00 / $154.06	Professional		$17.69	$32.00	$154.06
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 $16.16 / $25.29 / $99.29	Professional		$16.16	$25.29	$99.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $23.23 / $44.12	Facility		$16.12	$23.23	$44.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $23.21 / $43.03	Professional		$16.12	$23.21	$43.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.48 / $14.09	Professional		$9.42	$11.48	$14.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $33.10 / $36.18	Facility		$24.01	$33.10	$36.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $32.40 / $47.88	Facility		$23.56	$32.40	$47.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $33.43 / $45.24	Professional		$24.58	$33.43	$45.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $26.97 / $47.44	Facility		$22.48	$26.97	$47.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $18.63 / $30.74	Professional		$17.51	$18.63	$30.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $18.77 / $50.35	Professional		$16.00	$18.77	$50.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.53 / $19.53	Professional		$17.78	$19.53	$19.53