Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $43.62 / $24,000.00	Facility		$26.44	$43.62	$24,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $26.44 / $26.75	Professional		$24.89	$26.44	$26.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.87 / $56.45 / $100.00	Facility		$29.87	$56.45	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $36.47 / $136.12	Professional		$11.28	$36.47	$136.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $31.11 / $124.44	Facility		$31.11	$31.11	$124.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $38.15	Professional		$31.11	$31.11	$38.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $52.29 / $116.91	Facility		$29.45	$52.29	$116.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $43.27 / $81.05	Professional		$29.45	$43.27	$81.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $60.00 / $75.00	Professional		$27.99	$60.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $31.11 / $79,999.20	Facility		$31.11	$31.11	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $33.69 / $71.51	Facility		$25.42	$33.69	$71.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.20 / $32.20 / $35.42	Facility		$32.20	$32.20	$35.42
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $37.33	Professional		$31.11	$31.11	$37.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Professional		$31.11	$31.11	$31.11