Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $24.79 / $46.20	Facility		$21.89	$24.79	$46.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.77 / $26.87	Professional		$22.54	$22.77	$26.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $30.86 / $107.55	Facility		$19.98	$30.86	$107.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $24.79 / $95.19	Professional		$22.54	$24.79	$95.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $21.56 / $43.02	Facility		$21.26	$21.56	$43.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $27.64	Professional		$22.54	$22.54	$27.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $28.88 / $52.30	Facility		$18.89	$28.88	$52.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $28.18 / $48.47	Professional		$19.22	$28.18	$48.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $22.54 / $75.00	Professional		$21.51	$22.54	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $22.54 / $36.46	Facility		$20.57	$22.54	$36.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $30.56 / $55.93	Facility		$17.91	$30.56	$55.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $27.46 / $49.63	Professional		$22.78	$27.46	$49.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $24.79 / $44.60	Facility		$20.57	$24.79	$44.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $24.79 / $27.05	Professional		$22.54	$24.79	$27.05
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $27.05	Professional		$22.54	$22.54	$27.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $22.54 / $22.54	Professional		$21.56	$22.54	$22.54