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 $24.27 / $24.27 / $24.27	Facility		$24.27	$24.27	$24.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $17.72 / $24.27	Professional		$17.72	$17.72	$24.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $34.40 / $90.93	Facility		$20.02	$34.40	$90.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $34.40 / $66.20	Professional		$20.04	$34.40	$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 Professional Modifier Low / Median / High Price $14.52 / $17.16 / $29.97	Professional		$14.52	$17.16	$29.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $29.24 / $29.24	Professional		$18.43	$29.24	$29.24