Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $29.92 / $144.08	Facility		$13.18	$29.92	$144.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $13.18 / $31.57	Professional		$11.76	$13.18	$31.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $121.07 / $121.07	Facility		$20.37	$121.07	$121.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.78 / $136.25	Professional		$16.98	$20.78	$136.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $16.44 / $16.44	Facility		$16.44	$16.44	$16.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $13.97 / $19.34	Professional		$13.97	$13.97	$19.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $28.11 / $50.11	Facility		$20.93	$28.11	$50.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $30.47 / $50.11	Professional		$20.93	$30.47	$50.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $17.82 / $19.61	Professional		$16.04	$17.82	$19.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $24.34 / $27.36	Facility		$21.73	$24.34	$27.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $24.92 / $27.36	Professional		$20.93	$24.92	$27.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $20.37 / $37.65	Facility		$19.30	$20.37	$37.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $22.03 / $33.42	Professional		$19.30	$22.03	$33.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $19.77 / $25.59	Professional		$18.48	$19.77	$25.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $12.50 / $22.13	Professional		$10.82	$12.50	$22.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $11.75	Professional		$9.36	$9.36	$11.75