Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $19.59 / $19.59	Facility		$19.59	$19.59	$19.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.59 / $43.65	Professional		$19.23	$19.59	$43.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.43 / $80.00 / $182.85	Facility		$36.43	$80.00	$182.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $26.52 / $42.33	Professional		$4.08	$26.52	$42.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Facility		$27.30	$27.30	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $23.21 / $44.63	Professional		$23.21	$23.21	$44.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $37.52 / $37.52	Facility		$37.52	$37.52	$37.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $37.52 / $37.52	Professional		$37.52	$37.52	$37.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $42.71 / $48.24	Professional		$28.15	$42.71	$48.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $38.46 / $43.86	Facility		$37.52	$38.46	$43.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $38.46 / $43.86	Professional		$35.64	$38.46	$43.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $34.39 / $72.86	Facility		$3.52	$34.39	$72.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $7.09 / $69.34	Professional		$3.09	$7.09	$69.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.43 / $36.43 / $37.47	Facility		$36.43	$36.43	$37.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $4.08	Professional		$3.35	$3.35	$4.08
United Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.57 / $35.58	Professional		$18.04	$18.57	$35.58