Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $49.80 / $52.00	Facility		$21.94	$49.80	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $21.94 / $21.94	Professional		$12.40	$21.94	$21.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $115.05 / $115.05	Facility		$27.92	$115.05	$115.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $85.54 / $189.23	Professional		$29.71	$85.54	$189.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $28.09	Facility		$28.09	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $28.09	Professional		$20.51	$20.51	$28.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $46.03 / $74.00	Facility		$20.46	$46.03	$74.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $43.41 / $59.12	Professional		$20.46	$43.41	$59.12
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 $35.75 / $42.94 / $53.81	Facility		$35.75	$42.94	$53.81
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 $29.71 / $29.71 / $87.75	Professional		$29.71	$29.71	$87.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $32.46 / $59.30	Facility		$27.05	$32.46	$59.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.48 / $23.46	Professional		$13.49	$15.48	$23.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $27.37 / $54.93	Professional		$27.37	$27.37	$54.93