Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $70.70 / $73.83	Facility		$31.15	$70.70	$73.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $31.15 / $70.70	Professional		$23.90	$31.15	$70.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $81.94 / $220.66	Facility		$41.98	$81.94	$220.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $42.34 / $237.99	Professional		$34.64	$42.34	$237.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $30.59	Facility		$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.33 / $30.59	Professional		$22.33	$22.33	$30.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $55.13 / $135.16	Facility		$33.79	$55.13	$135.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $52.60 / $91.04	Professional		$33.79	$52.60	$91.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $47.94 / $60.00	Professional		$47.94	$47.94	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $46.82 / $52.57	Facility		$46.67	$46.82	$52.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $38.07 / $38.07	Professional		$38.07	$38.07	$38.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $41.98 / $91.30	Facility		$39.79	$41.98	$91.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $45.08 / $68.90	Professional		$39.79	$45.08	$68.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $46.82 / $46.82	Facility		$45.63	$46.82	$46.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $40.75 / $52.73	Professional		$38.07	$40.75	$52.73
United Facility/Professional Facility Modifier Low / Median / High Price $56.45 / $67.73 / $67.73	Facility		$56.45	$67.73	$67.73
United Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $31.83 / $40.29	Professional		$21.12	$31.83	$40.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $40.75 / $40.75	Professional		$28.62	$40.75	$40.75