Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $52.18 / $54.27	Facility		$29.64	$52.18	$54.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $28.44 / $29.93	Professional		$26.94	$28.44	$29.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $26.94 / $133.71	Facility		$9.94	$26.94	$133.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $28.02 / $147.24	Professional		$26.94	$28.02	$147.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $25.42 / $46.50	Facility		$25.42	$25.42	$46.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $33.04	Professional		$26.94	$26.94	$33.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $36.36 / $93.46	Facility		$26.94	$36.36	$93.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $45.41 / $95.11	Professional		$26.94	$45.41	$95.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $60.00 / $75.00	Professional		$23.25	$60.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $26.94 / $55.92	Facility		$25.17	$26.94	$55.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $13.18 / $63.01	Facility		$9.47	$13.18	$63.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $37.97 / $58.55	Professional		$32.84	$37.97	$58.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $26.94 / $26.94	Facility		$13.88	$26.94	$26.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $26.94 / $26.94	Professional		$25.59	$26.94	$26.94
United Facility/Professional Facility Modifier Low / Median / High Price $54.64 / $54.64 / $54.64	Facility		$54.64	$54.64	$54.64
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $32.33	Professional		$26.94	$26.94	$32.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $30.28	Professional		$26.94	$26.94	$30.28