Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $51.70 / $51.70	Facility		$51.70	$51.70	$51.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $50.15 / $56.33	Professional		$36.11	$50.15	$56.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $96.10 / $239.19	Facility		$63.42	$96.10	$239.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $113.37 / $454.95	Professional		$64.68	$113.37	$454.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $64.00 / $76.68	Professional		$62.54	$64.00	$76.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $65.30 / $117.64	Facility		$25.23	$65.30	$117.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $160.43 / $160.43	Professional		$160.43	$160.43	$160.43
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 $69.45 / $103.46 / $105.86	Facility		$69.45	$103.46	$105.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $63.42 / $72.20	Facility		$63.42	$63.42	$72.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $105.73 / $143.32	Professional		$76.54	$105.73	$143.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $82.51 / $161.41	Facility		$54.72	$82.51	$161.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $86.66 / $124.21	Professional		$63.67	$86.66	$124.21
United Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $69.61 / $142.96	Professional		$52.03	$69.61	$142.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70