Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.49 / $41.49 / $45.39	Facility		$41.49	$41.49	$45.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $45.39 / $53.21	Professional		$37.72	$45.39	$53.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $195.30 / $195.30	Facility		$87.96	$195.30	$195.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $96.78 / $371.40	Professional		$58.56	$96.78	$371.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $67.83 / $67.83	Professional		$67.83	$67.83	$67.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $151.83 / $151.83	Professional		$151.83	$151.83	$151.83
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 $56.76 / $85.00 / $86.43	Facility		$56.76	$85.00	$86.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $55.27 / $58.95	Facility		$55.27	$55.27	$58.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $95.82 / $120.91	Professional		$62.89	$95.82	$120.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $80.03 / $110.81	Professional		$56.36	$80.03	$110.81
United Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $48.18 / $116.68	Professional		$43.68	$48.18	$116.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $50.95 / $50.95	Professional		$50.95	$50.95	$50.95