Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $73.25 / $76.48	Facility		$32.27	$73.25	$76.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $32.27 / $77.31	Professional		$21.67	$32.27	$77.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $257.45 / $257.45	Facility		$49.88	$257.45	$257.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $50.16 / $367.11	Professional		$37.92	$50.16	$367.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $30.16 / $30.16	Facility		$30.16	$30.16	$30.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $42.27	Professional		$23.24	$23.24	$42.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $60.25 / $104.45	Facility		$46.25	$60.25	$104.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $63.14 / $104.45	Professional		$46.25	$63.14	$104.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.30 / $43.67 / $75.00	Professional		$39.30	$43.67	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $48.42 / $55.63	Facility		$38.43	$48.42	$55.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $51.27 / $56.97	Professional		$42.31	$51.27	$56.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $49.88 / $92.23	Facility		$47.29	$49.88	$92.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $53.96 / $81.87	Professional		$47.29	$53.96	$81.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $48.42 / $59.82	Professional		$45.25	$48.42	$59.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $26.05 / $46.09	Professional		$23.08	$26.05	$46.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $28.37	Professional		$15.45	$15.45	$28.37