Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $38.00 / $45.74	Facility		$20.90	$38.00	$45.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.57 / $35.34	Professional		$19.00	$19.57	$35.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $58.66 / $461.50	Facility		$32.45	$58.66	$461.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $21.95 / $145.08	Professional		$19.00	$21.95	$145.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $19.00 / $57.48	Facility		$13.34	$19.00	$57.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $20.01	Professional		$19.00	$19.00	$20.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.19 / $175.09	Facility		$19.00	$19.19	$175.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $163.03	Professional		$19.00	$19.00	$163.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $23.75 / $65.97	Facility		$18.64	$23.75	$65.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $64.63 / $109.02	Facility		$35.04	$64.63	$109.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $33.09 / $51.00	Professional		$28.61	$33.09	$51.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $46.93 / $100.60	Facility		$20.90	$46.93	$100.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.90 / $22.80	Professional		$19.00	$20.90	$22.80
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $22.80	Professional		$19.00	$19.00	$22.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $26.37 / $26.37	Professional		$26.37	$26.37	$26.37