Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.34 / $77.34 / $77.34	Facility		$77.34	$77.34	$77.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $77.34 / $84.20	Professional		$43.14	$77.34	$84.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.96 / $158.34 / $158.34	Facility		$42.96	$158.34	$158.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $89.78 / $302.25	Professional		$45.14	$89.78	$302.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $120.63 / $120.63	Professional		$120.63	$120.63	$120.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $7.03 / $7.88	Facility		$5.53	$7.03	$7.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.96 / $42.96 / $95.58	Facility		$42.96	$42.96	$95.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $72.76 / $104.52	Professional		$44.18	$72.76	$104.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $71.28 / $140.84	Professional		$50.62	$71.28	$140.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $76.15 / $140.41	Professional		$16.25	$76.15	$140.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07