Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.72 / $62.15 / $77.15	Facility		$55.72	$62.15	$77.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $41.00 / $62.71	Professional		$24.83	$41.00	$62.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $46.21 / $137.78	Facility		$29.12	$46.21	$137.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $45.42 / $243.00	Professional		$27.83	$45.42	$243.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $47.86 / $91.08	Professional		$30.00	$47.86	$91.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $35.26 / $71.72	Facility		$25.66	$35.26	$71.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $35.26 / $64.93	Professional		$26.32	$35.26	$64.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $36.24 / $82.48	Professional		$13.02	$36.24	$82.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $64.31 / $75.70	Facility		$41.00	$64.31	$75.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $46.21 / $46.21	Facility		$46.21	$46.21	$46.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $67.43 / $91.41	Professional		$43.67	$67.43	$91.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $34.32 / $543.76	Facility		$29.12	$34.32	$543.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $38.22 / $54.47	Professional		$27.83	$38.22	$54.47
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $48.00 / $100.30	Professional		$33.76	$48.00	$100.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $32.02 / $41.82	Professional		$29.77	$32.02	$41.82