Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $60.38 / $63.04	Facility		$26.60	$60.38	$63.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $26.60 / $63.04	Professional		$19.98	$26.60	$63.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $93.03 / $190.57	Facility		$34.51	$93.03	$190.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $34.86 / $294.20	Professional		$28.00	$34.86	$294.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Facility		$23.10	$23.10	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $23.10	Professional		$16.86	$16.86	$23.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $39.40 / $102.18	Facility		$22.29	$39.40	$102.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $39.40 / $76.13	Professional		$22.31	$39.40	$76.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $30.21 / $33.23	Professional		$27.18	$30.21	$33.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $35.70 / $39.40	Facility		$31.29	$35.70	$39.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $39.40 / $39.40	Professional		$35.47	$39.40	$39.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $44.26 / $76.98	Facility		$34.51	$44.26	$76.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $32.72 / $65.38	Professional		$32.72	$32.72	$65.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $38.49 / $38.49	Facility		$37.51	$38.49	$38.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $33.50 / $43.35	Professional		$31.31	$33.50	$43.35
United Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $17.80 / $33.97	Professional		$16.47	$17.80	$33.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $22.90 / $22.90	Professional		$21.57	$22.90	$22.90