Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $62.43 / $23,483.87	Facility		$40.36	$62.43	$23,483.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.49 / $44.80	Professional		$36.69	$37.49	$44.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $54.80 / $205.70	Facility		$37.40	$54.80	$205.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $40.36 / $167.55	Professional		$36.69	$40.36	$167.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $36.58 / $75.06	Facility		$34.61	$36.58	$75.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $45.00	Professional		$36.69	$36.69	$45.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $60.17 / $123.49	Facility		$36.69	$60.17	$123.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $60.17 / $107.57	Professional		$36.69	$60.17	$107.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $40.65 / $70.00	Professional		$36.69	$40.65	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $41.84 / $107.64	Facility		$36.69	$41.84	$107.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $59.47 / $104.73	Facility		$33.65	$59.47	$104.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $46.59 / $84.20	Professional		$40.72	$46.59	$84.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $45.66 / $81.33	Facility		$36.53	$45.66	$81.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $40.36 / $44.03	Professional		$36.69	$40.36	$44.03
United Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Facility		$61.92	$61.92	$61.92
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $44.03	Professional		$36.69	$36.69	$44.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $36.69 / $36.69	Professional		$36.58	$36.69	$36.69