Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $53.02 / $62.23	Facility		$29.16	$53.02	$62.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.77 / $36.20	Professional		$26.51	$26.77	$36.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $64.59 / $165.45	Facility		$40.36	$64.59	$165.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $27.00 / $253.17	Professional		$26.51	$27.00	$253.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $26.51 / $66.18	Facility		$20.83	$26.51	$66.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $31.25	Professional		$26.51	$26.51	$31.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $83.29 / $155.56	Facility		$26.51	$83.29	$155.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $82.21 / $151.10	Professional		$26.51	$82.21	$151.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $32.91 / $44.67	Professional		$29.16	$32.91	$44.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $29.92 / $50.10	Facility		$26.02	$29.92	$50.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $68.76 / $115.97	Facility		$37.28	$68.76	$115.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $46.14 / $71.11	Professional		$39.89	$46.14	$71.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $55.73 / $117.07	Facility		$40.36	$55.73	$117.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $26.51 / $27.57	Professional		$25.18	$26.51	$27.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $31.81	Professional		$26.51	$26.51	$31.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $36.78 / $36.78	Professional		$36.78	$36.78	$36.78