Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.13 / $60.13 / $60.13	Facility		$60.13	$60.13	$60.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $55.38 / $64.97	Professional		$20.32	$55.38	$64.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $83.30 / $150.13	Facility		$50.00	$83.30	$150.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $65.84 / $245.56	Professional		$33.32	$65.84	$245.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $29.44 / $29.44	Professional		$12.50	$29.44	$29.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $92.40 / $160.24	Facility		$34.57	$92.40	$160.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Professional		$65.91	$65.91	$65.91
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 $22.51 / $29.58 / $37.52	Facility		$22.51	$29.58	$37.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $25.59 / $81.09	Facility		$25.59	$25.59	$81.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $53.31 / $88.25	Professional		$30.47	$53.31	$88.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $111.13 / $217.40	Facility		$81.31	$111.13	$217.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $46.48 / $101.17	Professional		$31.29	$46.48	$101.17
United Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $42.88 / $87.31	Professional		$36.63	$42.88	$87.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $110.07 / $110.07	Professional		$110.07	$110.07	$110.07