Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $19.01 / $21.47	Facility		$19.01	$19.01	$21.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $23.45 / $34.32	Professional		$18.43	$23.45	$34.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $151.53 / $151.53	Facility		$34.88	$151.53	$151.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $46.82 / $187.35	Professional		$27.10	$46.82	$187.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $35.22	Professional		$29.16	$29.16	$35.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $28.43 / $55.94	Facility		$20.77	$28.43	$55.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $27.38 / $49.09	Professional		$20.44	$27.38	$49.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $50.55 / $87.94	Professional		$9.84	$50.55	$87.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $48.24 / $52.36	Facility		$31.60	$48.24	$52.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $34.88 / $34.88	Facility		$34.88	$34.88	$34.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $51.38 / $65.76	Professional		$34.28	$51.38	$65.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.15 / $198.15 / $304.01	Facility		$198.15	$198.15	$304.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $42.43 / $58.02	Professional		$31.88	$42.43	$58.02
United Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $48.08 / $73.27	Professional		$31.08	$48.08	$73.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $32.02 / $32.02	Professional		$27.05	$32.02	$32.02