Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $45.42 / $47.42	Facility		$20.01	$45.42	$47.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $22.02 / $64.80	Professional		$15.19	$22.02	$64.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $157.81 / $157.81	Facility		$30.93	$157.81	$157.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $30.93 / $175.89	Professional		$23.13	$30.93	$175.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.22 / $21.22	Facility		$12.60	$21.22	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $27.42	Professional		$18.04	$18.04	$27.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $37.29 / $64.93	Facility		$28.85	$37.29	$64.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $39.20 / $64.93	Professional		$28.85	$39.20	$64.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $27.08 / $29.78	Professional		$24.37	$27.08	$29.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $29.32 / $33.02	Facility		$23.84	$29.32	$33.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $30.02 / $35.32	Professional		$27.02	$30.02	$35.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $30.93 / $57.18	Facility		$29.32	$30.93	$57.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $33.46 / $50.77	Professional		$29.32	$33.46	$50.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $30.02 / $37.09	Professional		$28.06	$30.02	$37.09
United Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $14.98 / $28.58	Professional		$13.85	$14.98	$28.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $11.45 / $15.93	Professional		$11.45	$11.45	$15.93