Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $64.80 / $104.61	Facility		$46.89	$64.80	$104.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $46.89 / $85.89	Professional		$33.83	$46.89	$85.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.36 / $165.02 / $165.02	Facility		$49.36	$165.02	$165.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $85.86 / $301.35	Professional		$49.43	$85.86	$301.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $65.16 / $109.71	Professional		$39.47	$65.16	$109.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $75.92 / $100.60	Facility		$35.34	$75.92	$100.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $77.64 / $100.60	Professional		$35.34	$77.64	$100.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $54.31 / $89.76	Professional		$9.16	$54.31	$89.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.41 / $71.75 / $73.03	Facility		$53.41	$71.75	$73.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $48.47 / $49.36	Facility		$48.47	$48.47	$49.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $83.59 / $101.23	Professional		$55.99	$83.59	$101.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $71.00 / $95.63	Professional		$49.43	$71.00	$95.63
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $64.81 / $106.39	Professional		$38.97	$64.81	$106.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $38.47	Professional		$38.47	$38.47	$38.47