Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $72.80 / $76.01	Facility		$32.07	$72.80	$76.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $32.07 / $76.01	Professional		$25.56	$32.07	$76.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $93.97 / $235.45	Facility		$43.21	$93.97	$235.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $54.29 / $361.43	Professional		$36.03	$54.29	$361.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $40.14	Facility		$40.14	$40.14	$40.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $40.14	Professional		$34.11	$34.11	$40.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $49.35 / $129.37	Facility		$28.21	$49.35	$129.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $49.58 / $95.99	Professional		$28.24	$49.58	$95.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $49.35 / $60.00	Professional		$49.35	$49.35	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $49.35 / $51.11	Facility		$44.42	$49.35	$51.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $55.42 / $96.38	Facility		$43.21	$55.42	$96.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $40.96 / $48.19	Professional		$40.96	$40.96	$48.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $48.19 / $48.19	Facility		$46.97	$48.19	$48.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $54.29 / $54.29	Professional		$36.03	$54.29	$54.29
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $33.95 / $42.99	Professional		$22.54	$33.95	$42.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $124.90 / $124.90	Professional		$41.95	$124.90	$124.90