Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $67.08 / $70.03	Facility		$29.55	$67.08	$70.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $29.55 / $70.80	Professional		$22.43	$29.55	$70.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $245.00 / $245.00	Facility		$45.68	$245.00	$245.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $46.07 / $259.76	Professional		$36.53	$46.07	$259.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $34.45 / $34.45	Facility		$33.60	$34.45	$34.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $29.28 / $36.86	Professional		$21.28	$29.28	$36.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $53.05 / $89.04	Facility		$30.97	$53.05	$89.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $53.20 / $93.50	Professional		$31.00	$53.20	$93.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.98 / $39.97 / $43.97	Professional		$35.98	$39.97	$43.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $50.94 / $52.16	Facility		$46.76	$50.94	$52.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $52.16 / $52.16	Professional		$45.57	$52.16	$52.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $45.68 / $84.46	Facility		$43.30	$45.68	$84.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $49.41 / $74.97	Professional		$43.30	$49.41	$74.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $44.34 / $57.38	Professional		$41.43	$44.34	$57.38
United Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $23.74 / $42.20	Professional		$20.45	$23.74	$42.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $30.56 / $30.56	Professional		$26.13	$30.56	$30.56