Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $68.76 / $71.79	Facility		$30.29	$68.76	$71.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $30.29 / $71.79	Professional		$26.04	$30.29	$71.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $93.28 / $214.06	Facility		$39.29	$93.28	$214.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $39.04 / $231.57	Professional		$31.95	$39.04	$231.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $56.45	Professional		$19.78	$19.78	$56.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $44.88 / $118.12	Facility		$17.67	$44.88	$118.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $44.88 / $86.88	Professional		$17.67	$44.88	$86.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $34.40 / $37.85	Professional		$30.96	$34.40	$37.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $43.83 / $46.50	Facility		$35.63	$43.83	$46.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $44.88 / $46.50	Professional		$40.39	$44.88	$46.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $50.40 / $87.66	Facility		$39.29	$50.40	$87.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $37.26 / $43.83	Professional		$37.26	$37.26	$43.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.72 / $43.83 / $43.83	Facility		$42.72	$43.83	$43.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $38.15 / $49.37	Professional		$35.65	$38.15	$49.37
United Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $20.49 / $39.09	Professional		$18.94	$20.49	$39.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $18.22 / $38.15	Professional		$18.22	$18.22	$38.15