Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $60.24 / $88.80	Facility		$32.70	$60.24	$88.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $25.06 / $83.34	Professional		$14.40	$25.06	$83.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $80.00 / $155.94	Facility		$44.85	$80.00	$155.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $61.62 / $286.80	Professional		$33.09	$61.62	$286.80
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 $22.50 / $38.86 / $102.90	Professional		$22.50	$38.86	$102.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $44.59 / $87.46	Facility		$30.81	$44.59	$87.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $44.59 / $81.88	Professional		$31.14	$44.59	$81.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $49.61 / $90.15	Professional		$9.66	$49.61	$90.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $62.98 / $68.34	Facility		$45.06	$62.98	$68.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $61.51 / $90.89	Facility		$44.85	$61.51	$90.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $63.41 / $85.45	Professional		$46.56	$63.41	$85.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.79 / $50.93 / $96.76	Facility		$42.79	$50.93	$96.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $35.19 / $59.36	Professional		$33.08	$35.19	$59.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $35.72 / $86.31	Professional		$28.32	$35.72	$86.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $37.95 / $37.95	Professional		$34.09	$37.95	$37.95