Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.31 / $77.88 / $81.31	Facility		$34.31	$77.88	$81.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $34.31 / $59.36	Professional		$27.94	$34.31	$59.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $105.80 / $242.56	Facility		$44.52	$105.80	$242.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $44.23 / $262.20	Professional		$36.20	$44.23	$262.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $34.89	Facility		$34.89	$34.89	$34.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $34.89	Professional		$25.47	$25.47	$34.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $50.84 / $133.12	Facility		$20.71	$50.84	$133.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $50.84 / $98.47	Professional		$23.13	$50.84	$98.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $38.97 / $42.87	Professional		$35.08	$38.97	$42.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $49.65 / $52.65	Facility		$40.36	$49.65	$52.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $50.84 / $52.65	Professional		$48.30	$50.84	$52.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $57.10 / $99.30	Facility		$44.52	$57.10	$99.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $42.20 / $49.65	Professional		$42.20	$42.20	$49.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $49.65 / $49.65	Facility		$48.39	$49.65	$49.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $43.21 / $55.92	Professional		$40.39	$43.21	$55.92
United Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $23.26 / $44.29	Professional		$21.47	$23.26	$44.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.02 / $43.21	Professional		$26.02	$26.02	$43.21