Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.03 / $61.91 / $22,943.20	Facility		$42.03	$61.91	$22,943.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $42.58 / $53.12	Professional		$42.15	$42.58	$53.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $60.06 / $205.55	Facility		$38.36	$60.06	$205.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $46.38 / $4,110.43	Professional		$42.16	$46.38	$4,110.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $40.97 / $99.35	Facility		$39.77	$40.97	$99.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $51.71	Professional		$42.16	$42.16	$51.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $45.62 / $98.54	Facility		$34.72	$45.62	$98.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $44.90 / $82.63	Professional		$32.26	$44.90	$82.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $46.03 / $62.77	Professional		$41.85	$46.03	$62.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $47.73 / $115.09	Facility		$41.85	$47.73	$115.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $58.70 / $107.43	Facility		$34.15	$58.70	$107.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $52.18 / $94.31	Professional		$43.29	$52.18	$94.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $47.91 / $80.08	Facility		$40.04	$47.91	$80.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $46.38 / $50.59	Professional		$42.16	$46.38	$50.59
United Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $67.83 / $67.83	Facility		$67.83	$67.83	$67.83
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $50.59	Professional		$42.16	$42.16	$50.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $42.16 / $42.16	Professional		$40.97	$42.16	$42.16