Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $55.64 / $58.72	Facility		$24.51	$55.64	$58.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $24.51 / $58.09	Professional		$12.70	$24.51	$58.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.89 / $85.00 / $203.25	Facility		$37.89	$85.00	$203.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $37.89 / $316.95	Professional		$35.92	$37.89	$316.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $47.62 / $82.32	Facility		$25.73	$47.62	$82.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $47.86 / $83.22	Professional		$25.73	$47.86	$83.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $36.49 / $60.00	Professional		$29.86	$36.49	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $42.26 / $47.60	Facility		$34.34	$42.26	$47.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $43.27 / $43.27	Professional		$38.94	$43.27	$43.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $37.89 / $70.06	Facility		$35.92	$37.89	$70.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $42.26 / $48.60	Professional		$35.92	$42.26	$48.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $36.78 / $43.27	Professional		$34.94	$36.78	$43.27
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $18.00	Professional		$15.00	$15.00	$18.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $19.20 / $36.78	Professional		$19.20	$19.20	$36.78