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 $107.98 / $162.47 / $331.58	Facility		$107.98	$162.47	$331.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $74.38 / $285.30	Professional		$41.79	$74.38	$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 $56.85 / $56.85 / $274.88	Facility		$56.85	$56.85	$274.88
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 $112.40 / $173.34 / $331.58	Facility		$112.40	$173.34	$331.58
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 $45.39 / $77.34 / $124.86	Professional		$45.39	$77.34	$124.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $38.20 / $38.20	Professional		$38.20	$38.20	$38.20