Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $59.96 / $49,814.47	Facility		$29.28	$59.96	$49,814.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.28 / $38.07	Professional		$29.98	$30.28	$38.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.24 / $41.63 / $144.50	Facility		$27.24	$41.63	$144.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $32.97 / $127.20	Professional		$29.98	$32.97	$127.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $28.81 / $57.80	Facility		$28.28	$28.81	$57.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $36.77	Professional		$29.98	$29.98	$36.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $84.56	Facility		$29.98	$29.98	$84.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $65.84	Professional		$29.98	$29.98	$65.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.00 / $50.00	Professional		$30.00	$33.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $33.96 / $71.48	Facility		$29.98	$33.96	$71.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $41.68 / $76.27	Facility		$24.52	$41.68	$76.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $36.69 / $66.31	Professional		$30.44	$36.69	$66.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $32.97 / $60.23	Facility		$27.75	$32.97	$60.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $32.97 / $35.97	Professional		$29.98	$32.97	$35.97
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $35.97	Professional		$29.98	$29.98	$35.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $29.98 / $29.98	Professional		$28.81	$29.98	$29.98