Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $50.67 / $52.90	Facility		$22.32	$50.67	$52.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $22.32 / $53.46	Professional		$16.93	$22.32	$53.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $184.95 / $184.95	Facility		$34.49	$184.95	$184.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $34.79 / $196.11	Professional		$27.58	$34.79	$196.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $26.07 / $26.07	Facility		$25.37	$26.07	$26.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $26.07	Professional		$16.07	$22.16	$26.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $40.17 / $67.76	Facility		$23.23	$40.17	$67.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $40.31 / $71.16	Professional		$23.56	$40.31	$71.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $30.19 / $33.20	Professional		$27.17	$30.19	$33.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $38.46 / $39.38	Facility		$35.31	$38.46	$39.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $39.38 / $39.38	Professional		$35.31	$39.38	$39.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $34.49 / $63.77	Facility		$32.69	$34.49	$63.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $37.31 / $56.61	Professional		$32.69	$37.31	$56.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $33.47 / $43.32	Professional		$31.29	$33.47	$43.32
United Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $16.70 / $31.87	Professional		$15.44	$16.70	$31.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $23.08 / $23.08	Professional		$19.73	$23.08	$23.08