Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.92 / $61.25 / $50,134.33	Facility		$36.92	$61.25	$50,134.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.92 / $43.94	Professional		$36.28	$36.92	$43.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.08 / $52.40 / $179.00	Facility		$34.08	$52.40	$179.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $39.90 / $156.44	Professional		$36.28	$39.90	$156.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $35.44 / $71.59	Facility		$34.22	$35.44	$71.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $44.49	Professional		$36.28	$36.28	$44.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $36.28 / $107.40	Facility		$36.28	$36.28	$107.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $82.57	Professional		$36.28	$36.28	$82.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $39.88 / $48.97	Professional		$35.79	$39.88	$48.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $36.28 / $61.16	Facility		$34.93	$36.28	$61.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $52.14 / $95.42	Facility		$30.67	$52.14	$95.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $45.13 / $81.56	Professional		$37.44	$45.13	$81.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $41.64 / $73.48	Facility		$34.93	$41.64	$73.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $39.90 / $43.53	Professional		$36.28	$39.90	$43.53
United Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Facility		$35.79	$35.79	$35.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $43.54	Professional		$36.28	$36.28	$43.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $36.28 / $36.28	Professional		$35.44	$36.28	$36.28