Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $84.83 / $88.57	Facility		$37.36	$84.83	$88.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $37.36 / $88.57	Professional		$27.09	$37.36	$88.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.49 / $145.94 / $237.18	Facility		$48.49	$145.94	$237.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $47.07 / $461.43	Professional		$34.22	$47.07	$461.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $29.64	Facility		$29.64	$29.64	$29.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $29.64	Professional		$21.64	$21.64	$29.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $53.58 / $127.50	Facility		$28.21	$53.58	$127.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $52.89 / $95.16	Professional		$28.24	$52.89	$95.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $42.45 / $46.69	Professional		$38.20	$42.45	$46.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $49.84 / $55.38	Facility		$43.95	$49.84	$55.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $49.84 / $55.38	Professional		$48.38	$49.84	$55.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.49 / $62.19 / $108.16	Facility		$48.49	$62.19	$108.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $45.97 / $45.97	Professional		$45.97	$45.97	$45.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $54.08 / $54.08	Facility		$52.71	$54.08	$54.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $47.07 / $60.92	Professional		$43.99	$47.07	$60.92
United Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $24.08 / $42.59	Professional		$20.64	$24.08	$42.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $22.90 / $26.20	Professional		$22.90	$22.90	$26.20