Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $27.63 / $27.63	Facility		$27.63	$27.63	$27.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $22.31 / $39.50	Professional		$15.88	$22.31	$39.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $127.50 / $219.86	Facility		$40.72	$127.50	$219.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $40.96 / $152.47	Professional		$23.56	$40.96	$152.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $26.46 / $48.42	Facility		$17.20	$26.46	$48.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $25.85 / $45.51	Professional		$17.20	$25.85	$45.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $21.79 / $70.00	Professional		$8.08	$21.79	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $35.51 / $38.86	Facility		$28.10	$35.51	$38.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $24.22	Facility		$23.10	$23.10	$24.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $39.57 / $48.84	Professional		$26.81	$39.57	$48.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $113.65 / $221.87	Facility		$82.93	$113.65	$221.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $32.52 / $45.53	Professional		$23.20	$32.52	$45.53
United Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $28.64 / $51.68	Professional		$22.40	$28.64	$51.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $24.72 / $24.72	Professional		$18.22	$24.72	$24.72