Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $31.53 / $31.53	Facility		$31.53	$31.53	$31.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $31.53 / $41.81	Professional		$21.93	$31.53	$41.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $85.00 / $152.90	Facility		$52.76	$85.00	$152.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $64.23 / $247.20	Professional		$36.72	$64.23	$247.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $35.79 / $40.96	Professional		$34.19	$35.79	$40.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $73.93 / $195.06	Facility		$25.23	$73.93	$195.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $98.91 / $98.91	Professional		$98.91	$98.91	$98.91
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 $7.19 / $8.40 / $9.39	Facility		$7.19	$8.40	$9.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $38.51 / $39.29	Facility		$38.51	$38.51	$39.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $64.34 / $78.01	Professional		$44.19	$64.34	$78.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $85.99 / $161.41	Facility		$61.23	$85.99	$161.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $49.88 / $70.15	Professional		$38.65	$49.88	$70.15
United Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $21.81 / $22.38	Facility		$20.90	$21.81	$22.38
United Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $37.19 / $66.61	Professional		$28.08	$37.19	$66.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $10.82 / $11.29	Professional		$10.82	$10.82	$11.29