Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $61.76 / $66.98	Facility		$29.51	$61.76	$66.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $26.06 / $58.44	Professional		$17.34	$26.06	$58.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $75.00 / $188.32	Facility		$38.32	$75.00	$188.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $38.25 / $294.89	Professional		$34.22	$38.25	$294.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $55.36	Facility		$40.26	$40.26	$55.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $46.30 / $106.16	Professional		$40.26	$46.30	$106.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $39.61 / $45.55	Facility		$38.68	$39.61	$45.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $38.32 / $65.19	Facility		$33.42	$38.32	$65.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $40.24 / $45.22	Professional		$33.42	$40.24	$45.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $34.22 / $40.26	Professional		$32.51	$34.22	$40.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $23.21 / $37.70	Professional		$20.81	$23.21	$37.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $40.08	Professional		$34.22	$34.22	$40.08