Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $37.67 / $67.67	Professional		$25.48	$37.67	$67.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $59.94 / $240.24	Professional		$37.42	$59.94	$240.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $52.91 / $94.40	Professional		$28.99	$52.91	$94.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $37.52 / $70.59	Professional		$24.49	$37.52	$70.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $51.46 / $91.10	Professional		$9.48	$51.46	$91.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $77.51 / $77.51	Professional		$77.51	$77.51	$77.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $59.12 / $73.48	Professional		$40.46	$59.12	$73.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $49.69 / $66.97	Professional		$37.06	$49.69	$66.97
United Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $47.00 / $75.43	Professional		$30.34	$47.00	$75.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $31.06 / $31.06	Professional		$21.81	$31.06	$31.06