Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $79.94 / $193.35	Facility		$32.97	$79.94	$193.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $33.52 / $36.86	Professional		$18.60	$33.52	$36.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $57.58 / $144.97	Facility		$36.84	$57.58	$144.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $71.59 / $263.18	Professional		$31.58	$71.59	$263.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $63.64 / $102.65	Facility		$32.33	$63.64	$102.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Professional		$18.45	$18.45	$18.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $56.14 / $120.00	Facility		$35.09	$56.14	$120.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $64.19 / $108.74	Professional		$35.09	$64.19	$108.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $52.64	Facility		$35.09	$35.09	$52.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $61.41 / $105.27	Facility		$35.09	$61.41	$105.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $43.86 / $52.99	Professional		$31.58	$43.86	$52.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $57.90 / $96.50	Facility		$36.84	$57.90	$96.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $68.02 / $81.27	Professional		$40.21	$68.02	$81.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.22 / $39.29	Professional		$14.74	$20.22	$39.29