Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $100.64 / $266.76	Facility		$33.93	$100.64	$266.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $58.02 / $100.64	Professional		$25.30	$58.02	$100.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $51.65 / $116.58 / $116.58	Facility		$51.65	$116.58	$116.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $141.05 / $466.88	Professional		$41.95	$141.05	$466.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $84.45 / $226.09	Professional		$35.11	$84.45	$226.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $70.87 / $196.21	Facility		$32.76	$70.87	$196.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $70.08 / $188.44	Professional		$31.51	$70.08	$188.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $157.59 / $256.85	Professional		$27.13	$157.59	$256.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $147.56 / $161.47	Facility		$54.27	$147.56	$161.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.30 / $98.30 / $98.30	Facility		$98.30	$98.30	$98.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $99.30 / $192.18	Professional		$45.21	$99.30	$192.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $173.34 / $234.87	Facility		$157.63	$173.34	$234.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $85.21 / $172.80	Professional		$38.04	$85.21	$172.80
United Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $125.87 / $222.06	Professional		$85.04	$125.87	$222.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $69.56 / $95.77	Professional		$26.71	$69.56	$95.77