Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $44.71 / $58.37	Facility		$38.76	$44.71	$58.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $38.76 / $41.89	Professional		$36.47	$38.76	$41.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $63.24 / $201.40	Facility		$40.28	$63.24	$201.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $173.28 / $205.20	Professional		$38.76	$173.28	$205.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $40.28	Facility		$38.76	$38.76	$40.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Professional		$38.76	$38.76	$38.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $65.18 / $148.85	Facility		$23.57	$65.18	$148.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $60.69 / $80.62	Professional		$32.25	$60.69	$80.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $75.00	Professional		$30.00	$60.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $79,999.20 / $79,999.20	Facility		$50.88	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.28 / $92.24	Facility		$34.24	$40.28	$92.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $38.76 / $47.88	Professional		$35.11	$38.76	$47.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $50.35 / $89.68	Facility		$40.28	$50.35	$89.68
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $45.60	Professional		$38.00	$38.00	$45.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Professional		$38.00	$38.00	$38.00