Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $39.70 / $59.22	Facility		$27.72	$39.70	$59.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.38 / $37.86	Professional		$25.20	$26.38	$37.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $33.29 / $866.62	Facility		$24.78	$33.29	$866.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $28.83 / $565.38	Professional		$25.20	$28.83	$565.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $23.78 / $49.24	Facility		$23.78	$23.78	$49.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $30.91	Professional		$25.20	$25.20	$30.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $34.02 / $72.63	Facility		$25.20	$34.02	$72.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $34.02 / $67.02	Professional		$25.20	$34.02	$67.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $27.08 / $37.79	Professional		$24.62	$27.08	$37.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $28.53 / $70.50	Facility		$23.50	$28.53	$70.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.56 / $36.59 / $36.59	Facility		$29.56	$36.59	$36.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $31.93 / $57.71	Professional		$27.91	$31.93	$57.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $27.72 / $33.29	Facility		$27.72	$27.72	$33.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $27.72 / $30.24	Professional		$25.20	$27.72	$30.24
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $30.24	Professional		$25.20	$25.20	$30.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $25.20 / $25.20	Professional		$25.07	$25.20	$25.20