Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.26 / $43.88 / $71.72	Facility		$37.26	$43.88	$71.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.26 / $4,166.64	Professional		$33.88	$37.26	$4,166.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $52.23 / $173.60	Facility		$34.82	$52.23	$173.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.15 / $155.61	Professional		$33.88	$35.15	$155.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $33.88	Facility		$31.96	$31.96	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $41.55	Professional		$33.88	$33.88	$41.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.06 / $123.46	Facility		$33.88	$38.06	$123.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $97.64	Professional		$33.88	$33.88	$97.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.92 / $46.87	Professional		$33.88	$37.92	$46.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $34.47 / $60.42	Facility		$33.88	$34.47	$60.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $57.75 / $101.06	Facility		$32.47	$57.75	$101.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $38.90 / $68.16	Professional		$37.24	$38.90	$68.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $41.78 / $77.53	Facility		$34.82	$41.78	$77.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $33.88 / $35.24	Professional		$32.19	$33.88	$35.24
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $35.25	Professional		$33.88	$33.88	$35.25