Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $64.56 / $70.65	Facility		$64.56	$64.56	$70.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $67.50 / $77.56	Professional		$59.02	$67.50	$77.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $130.13 / $137.26 / $292.17	Facility		$130.13	$137.26	$292.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $168.33 / $555.67	Professional		$96.02	$168.33	$555.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $101.48 / $101.48	Professional		$101.48	$101.48	$101.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.13 / $227.13 / $227.13	Professional		$227.13	$227.13	$227.13
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 $47.10 / $56.85 / $62.66	Facility		$47.10	$56.85	$62.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.43 / $87.43 / $88.20	Facility		$87.43	$87.43	$88.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $147.12 / $180.90	Professional		$99.49	$147.12	$180.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $126.88 / $170.90	Professional		$100.81	$126.88	$170.90
United Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $75.83 / $180.79	Professional		$67.66	$75.83	$180.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $71.34 / $71.34	Professional		$71.34	$71.34	$71.34