Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $32.29 / $59.70	Facility		$29.48	$32.29	$59.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.88 / $36.90	Professional		$29.29	$29.88	$36.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.70 / $41.55 / $144.60	Facility		$27.70	$41.55	$144.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $32.22 / $124.53	Professional		$29.29	$32.22	$124.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $28.21 / $57.84	Facility		$27.63	$28.21	$57.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $35.93	Professional		$29.29	$29.29	$35.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $38.50 / $75.14	Facility		$27.26	$38.50	$75.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $38.40 / $71.98	Professional		$29.29	$38.40	$71.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $31.81 / $70.00	Professional		$28.92	$31.81	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $33.15 / $77.39	Facility		$28.69	$33.15	$77.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.71 / $43.57 / $76.89	Facility		$24.71	$43.57	$76.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $35.92 / $64.93	Professional		$29.80	$35.92	$64.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.70 / $33.24 / $61.67	Facility		$27.70	$33.24	$61.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $32.22 / $35.15	Professional		$29.29	$32.22	$35.15
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $35.15	Professional		$29.29	$29.29	$35.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $29.29 / $29.29	Professional		$28.21	$29.29	$29.29