Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $67.42 / $159.72	Facility		$29.86	$67.42	$159.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $47.91 / $88.42	Professional		$22.05	$47.91	$88.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $102.96 / $144.47	Facility		$83.30	$102.96	$144.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $81.39 / $326.08	Professional		$33.81	$81.39	$326.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $61.85 / $139.07	Professional		$28.19	$61.85	$139.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.51 / $55.16 / $123.46	Facility		$25.51	$55.16	$123.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $54.25 / $119.92	Professional		$23.80	$54.25	$119.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $54.73 / $97.53	Professional		$9.69	$54.73	$97.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $99.40 / $112.56	Facility		$57.49	$99.40	$112.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.86 / $68.86 / $73.12	Facility		$68.86	$68.86	$73.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $71.48 / $131.07	Professional		$37.97	$71.48	$131.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $113.65 / $217.40	Facility		$82.93	$113.65	$217.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $62.63 / $115.04	Professional		$32.34	$62.63	$115.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $74.50 / $136.18	Professional		$36.57	$74.50	$136.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $44.17 / $60.04	Professional		$23.73	$44.17	$60.04