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 $31.52 / $43.68 / $55.04	Professional		$31.52	$43.68	$55.04
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 $41.79 / $73.90 / $285.30	Professional		$41.79	$73.90	$285.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $19.53 / $47.85	Professional		$15.53	$19.53	$47.85
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 $92.59 / $92.59 / $92.59	Professional		$92.59	$92.59	$92.59
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 $28.25 / $39.56 / $60.97	Facility		$28.25	$39.56	$60.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $45.24 / $62.97	Facility		$45.24	$45.24	$62.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $77.95 / $101.84	Professional		$49.86	$77.95	$101.84
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 $50.77 / $55.29 / $90.59	Professional		$50.77	$55.29	$90.59
United Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $75.95 / $136.38	Professional		$46.52	$75.95	$136.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $38.20 / $38.20	Professional		$38.20	$38.20	$38.20