Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $52.69 / $55.01	Facility		$23.21	$52.69	$55.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $23.21 / $55.01	Professional		$19.94	$23.21	$55.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $85.00 / $164.13	Facility		$30.12	$85.00	$164.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $29.93 / $177.29	Professional		$24.50	$29.93	$177.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $23.58	Facility		$23.58	$23.58	$23.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $23.58	Professional		$17.21	$17.21	$23.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $35.09 / $90.93	Facility		$20.04	$35.09	$90.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $35.18 / $66.20	Professional		$20.04	$35.18	$66.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $60.00	Professional		$34.40	$34.40	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $33.59 / $35.60	Facility		$27.30	$33.59	$35.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $34.40 / $35.60	Professional		$30.96	$34.40	$35.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $38.63 / $67.18	Facility		$30.12	$38.63	$67.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $28.55 / $33.59	Professional		$28.55	$28.55	$33.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $33.59 / $33.59	Facility		$32.74	$33.59	$33.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $29.24 / $37.84	Professional		$27.32	$29.24	$37.84
United Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $15.57 / $20.11	Facility		$12.10	$15.57	$20.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $15.73 / $29.97	Professional		$14.52	$15.73	$29.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $29.24 / $29.24	Professional		$19.17	$29.24	$29.24