Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $96.07 / $140.03	Facility		$42.32	$96.07	$140.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $42.32 / $73.20	Professional		$34.46	$42.32	$73.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $161.93 / $324.51	Facility		$31.85	$161.93	$324.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $63.26 / $525.47	Professional		$27.89	$63.26	$525.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $77.70	Facility		$67.20	$67.20	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $77.70	Professional		$49.06	$49.06	$77.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.17 / $116.73 / $209.60	Facility		$31.17	$116.73	$209.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $116.73 / $194.46	Professional		$31.17	$116.73	$194.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $104.37 / $114.80	Professional		$93.93	$104.37	$114.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $86.53 / $108.06	Facility		$32.81	$86.53	$108.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $48.89 / $105.32	Professional		$31.17	$48.89	$105.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $55.74 / $87.59	Facility		$39.81	$55.74	$87.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $27.07 / $27.07	Professional		$27.07	$27.07	$27.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $31.85 / $56.29	Facility		$31.85	$31.85	$56.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $28.22 / $108.16	Professional		$26.50	$28.22	$108.16
United Facility/Professional Facility Modifier Low / Median / High Price $124.56 / $149.47 / $149.47	Facility		$124.56	$149.47	$149.47
United Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $51.83 / $86.38	Professional		$47.92	$51.83	$86.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $77.44 / $77.44	Professional		$63.26	$77.44	$77.44