Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $37.85 / $37.85	Facility		$37.85	$37.85	$37.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $32.08 / $151.13	Professional		$25.76	$32.08	$151.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.63 / $85.00 / $133.19	Facility		$58.63	$85.00	$133.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $66.98 / $255.68	Professional		$37.88	$66.98	$255.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $56.57 / $91.50	Professional		$29.90	$56.57	$91.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $44.69 / $72.20	Facility		$27.90	$44.69	$72.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $43.50 / $74.47	Professional		$25.42	$43.50	$74.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $57.71 / $59.63	Facility		$40.40	$57.71	$59.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $40.67	Facility		$37.15	$37.15	$40.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $65.09 / $80.73	Professional		$41.20	$65.09	$80.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $54.69 / $72.23	Professional		$37.88	$54.69	$72.23
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $43.68 / $80.70	Professional		$28.15	$43.68	$80.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $34.78 / $34.78	Professional		$34.78	$34.78	$34.78