Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $19.78 / $19.78	Facility		$19.78	$19.78	$19.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $21.25 / $31.19	Professional		$15.05	$21.25	$31.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $177.02 / $185.89	Facility		$38.64	$177.02	$185.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $38.64 / $289.80	Professional		$26.12	$38.64	$289.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $25.17 / $29.37	Facility		$25.17	$25.17	$29.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $29.37	Professional		$21.39	$21.39	$29.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $45.51 / $97.01	Facility		$24.38	$45.51	$97.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $43.79 / $96.56	Professional		$24.08	$43.79	$96.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $70.00	Professional		$39.57	$39.57	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $55.00 / $67.00	Facility		$38.64	$55.00	$67.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $67.00 / $67.00	Professional		$63.27	$67.00	$67.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $54.10 / $85.01	Facility		$34.65	$54.10	$85.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $32.84 / $38.64	Professional		$32.84	$32.84	$38.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $38.64 / $38.64	Facility		$37.65	$38.64	$38.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $33.63 / $43.53	Professional		$31.61	$33.63	$43.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $16.78 / $32.01	Professional		$15.52	$16.78	$32.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64