Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $44.24 / $46.19	Facility		$19.48	$44.24	$46.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.48 / $46.69	Professional		$14.79	$19.48	$46.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $161.55 / $161.55	Facility		$30.12	$161.55	$161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $30.38 / $171.31	Professional		$24.09	$30.38	$171.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $20.66	Facility		$20.66	$20.66	$20.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $25.53	Professional		$17.55	$17.55	$25.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $35.01 / $58.31	Facility		$20.46	$35.01	$58.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $35.09 / $61.34	Professional		$20.46	$35.09	$61.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $26.36 / $28.99	Professional		$23.72	$26.36	$28.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $33.59 / $34.40	Facility		$30.84	$33.59	$34.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $34.40 / $35.09	Professional		$30.05	$34.40	$35.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.55 / $30.12 / $55.69	Facility		$28.55	$30.12	$55.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $32.58 / $49.44	Professional		$28.55	$32.58	$49.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $29.24 / $37.84	Professional		$27.32	$29.24	$37.84
United Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $14.61 / $27.83	Professional		$13.48	$14.61	$27.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $20.14 / $20.14	Professional		$17.23	$20.14	$20.14