Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Facility		$50.59	$50.59	$50.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $42.88 / $55.11	Professional		$30.33	$42.88	$55.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $118.03 / $217.40	Facility		$65.65	$118.03	$217.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $91.98 / $377.10	Professional		$50.29	$91.98	$377.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $19.53 / $68.88	Professional		$15.53	$19.53	$68.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $34.57 / $160.05	Facility		$34.57	$34.57	$160.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $132.94 / $132.94	Professional		$132.94	$132.94	$132.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.23 / $61.44 / $87.77	Facility		$43.23	$61.44	$87.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $59.87 / $62.97	Facility		$59.87	$59.87	$62.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $99.04 / $122.79	Professional		$62.88	$99.04	$122.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $111.13 / $217.40	Facility		$73.70	$111.13	$217.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $76.76 / $105.99	Professional		$60.52	$76.76	$105.99
United Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $86.78 / $141.79	Professional		$51.69	$86.78	$141.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Professional		$42.11	$42.11	$42.11