Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.92 / $112.92 / $112.92	Facility		$112.92	$112.92	$112.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $103.50 / $123.03	Professional		$61.55	$103.50	$123.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $168.34 / $168.34	Facility		$19.98	$168.34	$168.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $167.32 / $659.14	Professional		$11.80	$167.32	$659.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $13.40	Professional		$10.25	$10.25	$13.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $31.13 / $31.13	Professional		$31.13	$31.13	$31.13
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 $12.06 / $19.18 / $20.10	Facility		$12.06	$19.18	$20.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.52 / $139.52 / $139.52	Facility		$139.52	$139.52	$139.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $227.92 / $279.39	Professional		$146.34	$227.92	$279.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Facility		$19.98	$19.98	$19.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $142.30 / $205.59	Professional		$18.43	$142.30	$205.59
United Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $215.61 / $300.31	Professional		$129.78	$215.61	$300.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $14.56 / $14.56	Professional		$14.56	$14.56	$14.56