Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $69.87 / $72.95	Facility		$30.78	$69.87	$72.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $30.78 / $65.51	Professional		$21.67	$30.78	$65.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $75.53 / $256.42	Facility		$25.21	$75.53	$256.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $39.75 / $182.58	Professional		$22.07	$39.75	$182.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $44.34 / $59.73	Professional		$44.34	$44.34	$59.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $100.05 / $261.81	Facility		$24.67	$100.05	$261.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $96.04 / $167.29	Professional		$24.67	$96.04	$167.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $70.26 / $77.28	Professional		$63.23	$70.26	$77.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $38.70 / $75.31	Facility		$25.97	$38.70	$75.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $38.97 / $50.42	Facility		$21.43	$38.97	$50.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $38.68 / $75.33	Professional		$21.43	$38.68	$75.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $25.21 / $40.72	Facility		$25.21	$25.21	$40.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $22.33 / $72.81	Professional		$20.97	$22.33	$72.81
United Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $41.86 / $69.77	Professional		$39.84	$41.86	$69.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $53.86 / $53.86	Professional		$53.80	$53.86	$53.86