Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $75.77 / $79.11	Facility		$33.38	$75.77	$79.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $33.38 / $79.11	Professional		$27.70	$33.38	$79.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $128.47 / $263.25	Facility		$43.31	$128.47	$263.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $43.31 / $316.51	Professional		$36.11	$43.31	$316.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $22.56 / $30.91	Professional		$22.56	$22.56	$30.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $52.56 / $135.52	Facility		$30.94	$52.56	$135.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $53.15 / $105.09	Professional		$30.97	$53.15	$105.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $37.90 / $41.70	Professional		$34.11	$37.90	$41.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $48.30 / $49.46	Facility		$39.26	$48.30	$49.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $49.46 / $51.93	Professional		$44.51	$49.46	$51.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $55.54 / $96.60	Facility		$43.31	$55.54	$96.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.06 / $67.54	Professional		$41.06	$41.06	$67.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.08 / $48.30 / $48.30	Facility		$47.08	$48.30	$48.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $42.04 / $54.41	Professional		$39.29	$42.04	$54.41
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $24.71 / $47.08	Professional		$22.81	$24.71	$47.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $30.13 / $30.13	Professional		$30.13	$30.13	$30.13