Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $55.25 / $57.69	Facility		$24.34	$55.25	$57.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $24.34 / $58.31	Professional		$18.47	$24.34	$58.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $201.75 / $201.75	Facility		$37.61	$201.75	$201.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $37.94 / $213.94	Professional		$30.50	$37.94	$213.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $25.81	Facility		$25.81	$25.81	$25.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $31.88	Professional		$21.94	$21.94	$31.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $43.82 / $74.06	Facility		$25.50	$43.82	$74.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $44.03 / $77.78	Professional		$25.73	$44.03	$77.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $32.93 / $36.22	Professional		$29.63	$32.93	$36.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $41.95 / $42.96	Facility		$38.53	$41.95	$42.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $42.96 / $42.96	Professional		$37.53	$42.96	$42.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $37.61 / $69.55	Facility		$35.65	$37.61	$69.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $40.69 / $61.74	Professional		$35.65	$40.69	$61.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $36.52 / $47.26	Professional		$34.11	$36.52	$47.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $18.25 / $34.76	Professional		$16.85	$18.25	$34.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $25.17 / $25.17	Professional		$21.53	$25.17	$25.17