Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $82.78 / $311.25	Facility		$13.38	$82.78	$311.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $16.71 / $82.32	Professional		$12.75	$16.71	$82.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $110.19 / $138.41	Facility		$27.41	$110.19	$138.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $35.42 / $164.18	Professional		$19.47	$35.42	$164.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $27.98 / $46.67	Facility		$13.13	$27.98	$46.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $23.76 / $36.40	Professional		$12.82	$23.76	$36.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $10.07 / $70.00	Professional		$8.24	$10.07	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $29.48 / $31.49	Facility		$20.91	$29.48	$31.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $27.41 / $31.86	Facility		$20.84	$27.41	$31.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $35.32 / $42.63	Professional		$22.45	$35.32	$42.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $23.48 / $31.76	Facility		$19.55	$23.48	$31.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $29.90 / $40.11	Professional		$21.25	$29.90	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $25.41 / $44.20	Professional		$16.41	$25.41	$44.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $12.97 / $17.00	Professional		$12.97	$12.97	$17.00