Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $43.61 / $45.53	Facility		$19.21	$43.61	$45.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $19.21 / $45.53	Professional		$12.26	$19.21	$45.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.05 / $72.36 / $157.62	Facility		$46.05	$72.36	$157.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $29.49 / $256.19	Professional		$27.96	$29.49	$256.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $13.74 / $13.74	Professional		$13.74	$13.74	$13.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $48.10 / $74.28	Facility		$27.58	$48.10	$74.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $48.10 / $74.28	Professional		$30.38	$48.10	$74.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $32.89 / $60.00	Professional		$29.60	$32.89	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.89 / $33.68 / $37.04	Facility		$32.89	$33.68	$37.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $26.75 / $26.75	Professional		$26.75	$26.75	$26.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $58.98 / $87.49	Facility		$29.49	$58.98	$87.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $32.89 / $37.82	Professional		$27.96	$32.89	$37.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $28.63 / $33.68	Professional		$27.20	$28.63	$33.68
United Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $16.80 / $27.25	Professional		$14.28	$16.80	$27.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $28.63 / $33.68	Professional		$28.63	$28.63	$33.68