Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.06 / $71.75 / $111.70	Facility		$52.06	$71.75	$111.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $51.77 / $90.98	Professional		$36.79	$51.77	$90.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.35 / $80.56 / $181.68	Facility		$50.35	$80.56	$181.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $93.16 / $338.40	Professional		$55.44	$93.16	$338.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $71.23 / $122.81	Professional		$43.60	$71.23	$122.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.44 / $80.23 / $103.89	Facility		$38.44	$80.23	$103.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $81.91 / $103.89	Professional		$38.44	$81.91	$103.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $53.98 / $89.76	Professional		$9.16	$53.98	$89.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $79.73 / $81.06	Facility		$60.76	$79.73	$81.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $54.36 / $55.30	Facility		$54.36	$54.36	$55.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $93.65 / $113.41	Professional		$61.94	$93.65	$113.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $60.42 / $107.64	Facility		$51.25	$60.42	$107.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $79.54 / $107.60	Professional		$55.44	$79.54	$107.60
United Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $69.63 / $116.82	Professional		$44.24	$69.63	$116.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $42.36 / $42.75	Professional		$42.36	$42.36	$42.75