Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.37 / $68.94 / $71.98	Facility		$30.37	$68.94	$71.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $30.37 / $30.37	Professional		$17.17	$30.37	$30.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $159.28 / $159.28	Facility		$38.65	$159.28	$159.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $75.00 / $261.98	Professional		$38.09	$75.00	$261.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $54.94 / $54.94	Facility		$54.94	$54.94	$54.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $54.94	Professional		$40.11	$40.11	$54.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $63.47 / $102.46	Facility		$28.21	$63.47	$102.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $59.85 / $82.62	Professional		$28.21	$59.85	$82.62
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 $49.50 / $59.46 / $93.20	Facility		$49.50	$59.46	$93.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $93.20 / $93.20	Professional		$93.20	$93.20	$93.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $41.13 / $41.13	Professional		$41.13	$41.13	$41.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $44.94 / $82.10	Facility		$37.45	$44.94	$82.10
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $22.74 / $32.47	Professional		$18.80	$22.74	$32.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $70.78 / $70.78	Professional		$66.66	$70.78	$70.78