Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $76.00 / $86.39	Facility		$55.24	$76.00	$86.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $30.23 / $84.16	Professional		$24.71	$30.23	$84.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.63 / $264.97 / $1,076.19	Facility		$58.63	$264.97	$1,076.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $68.83 / $280.64	Professional		$35.34	$68.83	$280.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $113.40 / $158.19	Professional		$15.31	$113.40	$158.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $47.76 / $270.29	Facility		$26.26	$47.76	$270.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $44.50 / $76.56	Professional		$26.26	$44.50	$76.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $54.21 / $97.03	Professional		$9.71	$54.21	$97.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $51.30 / $63.19	Facility		$35.28	$51.30	$63.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $43.87 / $43.87	Facility		$43.87	$43.87	$43.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $43.87 / $43.87	Professional		$40.77	$43.87	$43.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $889.49 / $1,701.50	Facility		$576.79	$889.49	$1,701.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $59.04 / $79.18	Professional		$41.58	$59.04	$79.18
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.74 / $85.00	Professional		$30.20	$44.74	$85.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $37.77 / $37.77	Professional		$26.50	$37.77	$37.77