Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $36.61 / $77.43	Facility		$8.63	$36.61	$77.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $51.42 / $52.02	Professional		$40.77	$51.42	$52.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $12.58 / $150.07	Facility		$4.65	$12.58	$150.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.79 / $411.45	Professional		$29.51	$32.79	$411.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $103.14	Facility		$8.91	$8.91	$103.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Professional		$51.42	$51.42	$51.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $30.87 / $66.91	Facility		$10.56	$30.87	$66.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $31.83 / $58.16	Professional		$10.56	$31.83	$58.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.80 / $70.00	Professional		$8.91	$9.80	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $16.23 / $79,999.20	Facility		$15.16	$16.23	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $20.34 / $50.51	Facility		$10.72	$20.34	$50.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $12.03 / $20.52	Professional		$9.92	$12.03	$20.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $7.44 / $32.79	Facility		$4.65	$7.44	$32.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $32.79 / $32.79	Professional		$31.15	$32.79	$32.79
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $60.48	Professional		$50.40	$50.40	$60.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91