Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $61.81 / $64.54	Facility		$27.23	$61.81	$64.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.23 / $64.54	Professional		$23.44	$27.23	$64.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $85.00 / $192.63	Facility		$35.33	$85.00	$192.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $35.31 / $208.46	Professional		$28.74	$35.31	$208.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $23.09	Facility		$23.09	$23.09	$23.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $23.09	Professional		$16.86	$16.86	$23.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $40.50 / $105.00	Facility		$23.20	$40.50	$105.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $40.78 / $78.61	Professional		$23.23	$40.78	$78.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $40.35 / $60.00	Professional		$40.35	$40.35	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $39.40 / $41.86	Facility		$32.04	$39.40	$41.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $40.35 / $41.86	Professional		$36.32	$40.35	$41.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $45.31 / $78.80	Facility		$35.33	$45.31	$78.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $33.49 / $39.40	Professional		$33.49	$33.49	$39.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $39.40 / $39.40	Facility		$38.40	$39.40	$39.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $34.29 / $44.39	Professional		$32.06	$34.29	$44.39
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $18.47 / $35.17	Professional		$17.05	$18.47	$35.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $34.29	Professional		$9.89	$9.89	$34.29