Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $98.24 / $102.17	Facility		$42.40	$98.24	$102.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $42.40 / $46.25	Professional		$38.54	$42.40	$46.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $42.26 / $197.96	Facility		$18.01	$42.26	$197.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $42.39 / $199.13	Professional		$38.54	$42.39	$199.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $36.36 / $100.96	Facility		$36.36	$36.36	$100.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $47.27	Professional		$38.54	$38.54	$47.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $50.32 / $93.46	Facility		$37.51	$50.32	$93.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $54.48 / $95.11	Professional		$37.51	$54.48	$95.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $75.00	Professional		$30.00	$60.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $49.12 / $80.16	Facility		$38.54	$49.12	$80.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $23.96 / $60.95	Facility		$17.28	$23.96	$60.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $52.88 / $82.40	Professional		$48.64	$52.88	$82.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $38.54 / $38.54	Facility		$28.56	$38.54	$38.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $38.54 / $38.54	Professional		$36.61	$38.54	$38.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $46.25	Professional		$38.54	$38.54	$46.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $44.84	Professional		$38.54	$38.54	$44.84