Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $79.68 / $83.19	Facility		$35.10	$79.68	$83.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $35.10 / $35.10	Professional		$19.84	$35.10	$35.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.66 / $184.09 / $184.09	Facility		$44.66	$184.09	$184.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $50.26 / $302.77	Professional		$34.54	$50.26	$302.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Facility		$30.29	$30.29	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.11 / $30.29	Professional		$22.11	$22.11	$30.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $73.23 / $118.40	Facility		$32.54	$73.23	$118.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $69.06 / $95.50	Professional		$32.54	$69.06	$95.50
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 / $63.27 / $69.68	Facility		$53.81	$63.27	$69.68
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 $47.53 / $47.53 / $47.53	Professional		$47.53	$47.53	$47.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $51.93 / $94.87	Facility		$43.28	$51.93	$94.87
United Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $24.78 / $37.53	Professional		$22.34	$24.78	$37.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $39.04 / $39.04	Professional		$37.94	$39.04	$39.04