Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.58 / $153.61 / $508.09	Facility		$60.58	$153.61	$508.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $53.54 / $72.58	Professional		$37.20	$53.54	$72.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $158.93 / $158.93	Facility		$69.56	$158.93	$158.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $94.98 / $311.85	Professional		$51.50	$94.98	$311.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $77.06 / $155.05	Professional		$45.09	$77.06	$155.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $55.08 / $108.41	Facility		$34.24	$55.08	$108.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $55.59 / $110.20	Professional		$34.24	$55.59	$110.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $102.99 / $178.77	Professional		$18.61	$102.99	$178.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.15 / $96.51 / $103.18	Facility		$58.15	$96.51	$103.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.14 / $66.14 / $70.38	Facility		$66.14	$66.14	$70.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $86.03 / $128.41	Professional		$56.43	$86.03	$128.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $70.77 / $111.06	Professional		$47.59	$70.77	$111.06
United Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $82.50 / $144.82	Professional		$61.49	$82.50	$144.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $42.79 / $56.33	Professional		$36.60	$42.79	$56.33