Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $59.53 / $18,016.18	Facility		$30.79	$59.53	$18,016.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.39 / $6,600.00	Professional		$27.99	$29.39	$6,600.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $28.94 / $415.50	Facility		$12.64	$28.94	$415.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $30.79 / $109.60	Professional		$27.71	$30.79	$109.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $22.33 / $46.00	Facility		$18.97	$22.33	$46.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $29.03	Professional		$27.99	$27.99	$29.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $28.27 / $122.21	Facility		$27.99	$28.27	$122.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $106.33	Professional		$27.99	$27.99	$106.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $30.78 / $41.98	Professional		$27.42	$30.78	$41.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $31.10 / $83.97	Facility		$27.47	$31.10	$83.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $29.46 / $80.42	Facility		$14.57	$29.46	$80.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $23.81 / $36.69	Professional		$20.58	$23.81	$36.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $20.22 / $39.18	Facility		$12.64	$20.22	$39.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $30.79 / $33.59	Professional		$27.99	$30.79	$33.59
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $33.59	Professional		$27.99	$27.99	$33.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97