Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $69.69 / $72.76	Facility		$30.70	$69.69	$72.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $30.70 / $73.55	Professional		$17.98	$30.70	$73.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $283.61 / $283.61	Facility		$47.45	$283.61	$283.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $48.37 / $320.49	Professional		$39.56	$48.37	$320.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $38.29 / $38.29	Facility		$34.71	$38.29	$38.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $45.05	Professional		$32.54	$32.54	$45.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.77 / $64.72 / $116.45	Facility		$48.77	$64.72	$116.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $70.15 / $116.45	Professional		$48.77	$70.15	$116.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.37 / $41.53 / $45.68	Professional		$37.37	$41.53	$45.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $57.90 / $60.55	Facility		$47.05	$57.90	$60.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $59.29 / $60.55	Professional		$47.05	$59.29	$60.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $47.45 / $87.74	Facility		$44.98	$47.45	$87.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $51.33 / $77.89	Professional		$44.98	$51.33	$77.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $46.06 / $59.61	Professional		$43.04	$46.06	$59.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $27.08 / $51.58	Professional		$25.00	$27.08	$51.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $37.47 / $37.47	Professional		$27.15	$37.47	$37.47