Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $115.04 / $120.11	Facility		$50.68	$115.04	$120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $50.68 / $120.11	Professional		$47.43	$50.68	$120.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $68.28 / $148.49 / $406.12	Facility		$68.28	$148.49	$406.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $67.84 / $517.77	Professional		$55.37	$67.84	$517.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $48.73	Facility		$48.73	$48.73	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $48.73	Professional		$35.57	$35.57	$48.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $83.05 / $213.71	Facility		$49.14	$83.05	$213.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $83.53 / $166.32	Professional		$49.19	$83.53	$166.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $59.78 / $65.75	Professional		$53.80	$59.78	$65.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.90 / $76.15 / $103.97	Facility		$61.90	$76.15	$103.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $77.98 / $103.97	Professional		$61.95	$77.98	$103.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.28 / $87.57 / $152.30	Facility		$68.28	$87.57	$152.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $64.73 / $64.98	Professional		$64.73	$64.73	$64.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.22 / $76.15 / $76.15	Facility		$74.22	$76.15	$76.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $66.28 / $85.78	Professional		$61.95	$66.28	$85.78
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.36 / $74.22	Professional		$38.90	$58.36	$74.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $32.79 / $66.28	Professional		$32.79	$32.79	$66.28