Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $80.51 / $80.51	Facility		$21.76	$80.51	$80.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $21.76 / $46.31	Professional		$19.34	$21.76	$46.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $80.00 / $181.21	Facility		$17.82	$80.00	$181.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $35.97 / $275.95	Professional		$15.61	$35.97	$275.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $42.22	Facility		$38.15	$38.15	$42.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $32.43 / $59.06	Professional		$32.43	$32.43	$59.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $63.84 / $119.77	Facility		$17.44	$63.84	$119.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $63.84 / $110.88	Professional		$17.44	$63.84	$110.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $49.65 / $54.61	Professional		$44.68	$49.65	$54.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $41.16 / $53.22	Facility		$18.36	$41.16	$53.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $27.36 / $54.46	Professional		$18.36	$27.36	$54.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $27.54 / $46.05	Facility		$24.95	$27.54	$46.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.15 / $59.92	Professional		$15.15	$15.15	$59.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $28.78	Facility		$17.82	$17.82	$28.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $15.79 / $51.45	Professional		$14.83	$15.79	$51.45
United Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $77.73 / $77.73	Facility		$64.78	$77.73	$77.73
United Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $29.59 / $49.32	Professional		$27.35	$29.59	$49.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $47.86 / $47.86	Professional		$36.19	$47.86	$47.86