Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.25 / $60.60 / $2,671.68	Facility		$33.25	$60.60	$2,671.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $33.03 / $37.79	Professional		$30.23	$33.03	$37.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $45.16 / $134.55	Facility		$30.23	$45.16	$134.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $2,212.73	Professional		$30.23	$30.23	$2,212.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $60.72	Facility		$28.52	$28.52	$60.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $37.07	Professional		$30.23	$30.23	$37.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $47.41 / $84.13	Facility		$30.23	$47.41	$84.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $49.58 / $81.92	Professional		$30.23	$49.58	$81.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $33.33 / $45.54	Professional		$30.23	$33.33	$45.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $34.31 / $90.90	Facility		$30.23	$34.31	$90.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $39.15 / $68.84	Facility		$29.53	$39.15	$68.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $35.94 / $56.00	Professional		$33.06	$35.94	$56.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $45.12	Facility		$30.23	$30.23	$45.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $30.23 / $30.23	Professional		$28.72	$30.23	$30.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $36.28	Professional		$30.23	$30.23	$36.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.48	Professional		$30.23	$30.23	$30.48