Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $60.30 / $12,680.00	Facility		$30.64	$60.30	$12,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.98 / $1,619.20	Professional		$27.86	$28.98	$1,619.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $41.76 / $304.70	Facility		$26.60	$41.76	$304.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $30.65 / $126.83	Professional		$27.86	$30.65	$126.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $27.86 / $59.64	Facility		$22.34	$27.86	$59.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $31.70	Professional		$27.86	$27.86	$31.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $30.31 / $104.06	Facility		$27.86	$30.31	$104.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $78.34	Professional		$27.86	$27.86	$78.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $31.73 / $70.00	Professional		$28.85	$31.73	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $31.74 / $73.75	Facility		$27.35	$31.74	$73.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $43.36 / $71.73	Facility		$23.06	$43.36	$71.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $36.04 / $55.56	Professional		$31.17	$36.04	$55.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $31.92 / $82.46	Facility		$26.60	$31.92	$82.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $30.65 / $33.43	Professional		$27.86	$30.65	$33.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $33.43	Professional		$27.86	$27.86	$33.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $28.73 / $28.73	Professional		$28.73	$28.73	$28.73