Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $32.90 / $32.90	Facility		$32.90	$32.90	$32.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $32.90 / $33.46	Professional		$29.91	$32.90	$33.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $85.00 / $135.06	Facility		$29.91	$85.00	$135.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $29.91 / $135.06	Professional		$27.58	$29.91	$135.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $28.22 / $48.94	Facility		$28.22	$28.22	$48.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $36.68	Professional		$29.91	$29.91	$36.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $40.38	Facility		$29.91	$29.91	$40.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $40.38	Professional		$29.91	$29.91	$40.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $50.00 / $75.00	Professional		$24.47	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $30.70 / $56.53	Facility		$29.91	$30.70	$56.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $32.32 / $55.69	Facility		$30.33	$32.32	$55.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $33.19 / $59.16	Professional		$32.32	$33.19	$59.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $35.18	Facility		$29.91	$29.91	$35.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $29.91 / $29.91	Professional		$28.41	$29.91	$29.91
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $35.89	Professional		$29.91	$29.91	$35.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $30.59	Professional		$29.91	$29.91	$30.59