Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.41 / $95.41 / $95.41	Facility		$95.41	$95.41	$95.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $68.09 / $95.04	Professional		$54.17	$68.09	$95.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $313.37 / $313.37	Facility		$94.22	$313.37	$313.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $105.06 / $592.13	Professional		$61.91	$105.06	$592.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $117.38 / $208.51	Professional		$67.87	$117.38	$208.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.36 / $79.54 / $160.53	Facility		$59.36	$79.54	$160.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $78.44 / $122.96	Professional		$58.24	$78.44	$122.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.30 / $135.53 / $138.02	Facility		$113.30	$135.53	$138.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $94.22 / $94.22	Facility		$94.22	$94.22	$94.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $149.76 / $186.86	Professional		$85.49	$149.76	$186.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $96.10 / $137.30	Professional		$89.46	$96.10	$137.30
United Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $114.00 / $198.90	Professional		$71.75	$114.00	$198.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $64.45 / $64.45	Professional		$64.45	$64.45	$64.45