Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $42.07 / $76.25	Facility		$38.39	$42.07	$76.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.11 / $44.44	Professional		$36.74	$37.11	$44.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.03 / $54.18 / $183.20	Facility		$35.03	$54.18	$183.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $40.40 / $161.83	Professional		$36.74	$40.40	$161.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $36.65 / $73.28	Facility		$34.65	$36.65	$73.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $45.06	Professional		$36.74	$36.74	$45.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $102.05	Facility		$36.74	$36.74	$102.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $83.28	Professional		$36.74	$36.74	$83.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $36.74 / $75.00	Professional		$30.00	$36.74	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $41.60 / $109.98	Facility		$36.65	$41.60	$109.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $53.59 / $98.08	Facility		$30.19	$53.59	$98.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $46.67 / $84.35	Professional		$38.72	$46.67	$84.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $41.94 / $72.23	Facility		$36.11	$41.94	$72.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $40.40 / $44.09	Professional		$36.74	$40.40	$44.09
United Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $45.93	Professional		$36.74	$36.74	$45.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.74 / $36.74	Professional		$36.65	$36.74	$36.74