Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $44.69 / $569.80	Facility		$34.78	$44.69	$569.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $26.41 / $60.27	Professional		$22.67	$26.41	$60.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.71 / $115.03 / $571.58	Facility		$48.71	$115.03	$571.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $56.97 / $221.93	Professional		$30.31	$56.97	$221.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $43.49 / $78.83	Professional		$25.56	$43.49	$78.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $148.12 / $685.41	Facility		$142.59	$148.12	$685.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $80.06	Professional		$80.06	$80.06	$80.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $33.64 / $39.46	Professional		$29.37	$33.64	$39.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $47.57 / $50.92	Facility		$34.79	$47.57	$50.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $33.07 / $34.72	Facility		$33.07	$33.07	$34.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $55.37 / $68.94	Professional		$35.49	$55.37	$68.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $442.67 / $846.77	Facility		$287.05	$442.67	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $47.46 / $62.68	Professional		$33.72	$47.46	$62.68
United Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $36.90 / $70.31	Professional		$24.58	$36.90	$70.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $29.35 / $29.35	Professional		$20.98	$29.35	$29.35