Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $81.20 / $84.77	Facility		$35.77	$81.20	$84.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $35.77 / $37.04	Professional		$20.22	$35.77	$37.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $187.60 / $187.60	Facility		$45.51	$187.60	$187.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $48.44 / $308.55	Professional		$26.00	$48.44	$308.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $30.06 / $30.06	Facility		$30.06	$30.06	$30.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $30.06	Professional		$21.94	$21.94	$30.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $74.63 / $120.68	Facility		$33.17	$74.63	$120.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $70.38 / $97.02	Professional		$33.17	$70.38	$97.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $64.48 / $71.02	Facility		$53.81	$64.48	$71.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $53.81 / $53.81	Professional		$53.81	$53.81	$53.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $48.44 / $48.44	Professional		$48.44	$48.44	$48.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $52.92 / $96.70	Facility		$44.10	$52.92	$96.70
United Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $25.26 / $38.25	Professional		$22.77	$25.26	$38.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $39.04 / $39.04	Professional		$38.31	$39.04	$39.04