Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $45.58 / $102.80	Facility		$20.07	$45.58	$102.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $20.07 / $47.59	Professional		$16.03	$20.07	$47.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $85.00 / $135.94	Facility		$30.16	$85.00	$135.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $31.31 / $226.20	Professional		$22.00	$31.31	$226.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $25.14	Facility		$25.14	$25.14	$25.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $25.14	Professional		$21.37	$21.37	$25.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $31.96 / $84.68	Facility		$18.72	$31.96	$84.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $32.58 / $59.73	Professional		$19.84	$32.58	$59.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $29.10 / $32.78	Professional		$26.19	$29.10	$32.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $30.88 / $32.06	Facility		$27.79	$30.88	$32.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $53.99 / $76.44	Facility		$37.70	$53.99	$76.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $30.87 / $54.39	Professional		$27.28	$30.87	$54.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $30.16 / $30.16	Facility		$29.40	$30.16	$30.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $33.97 / $33.97	Professional		$22.54	$33.97	$33.97
United Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $21.26 / $26.92	Professional		$14.11	$21.26	$26.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $26.25 / $26.25	Professional		$24.95	$26.25	$26.25