Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.72 / $81.12 / $140.40	Facility		$46.72	$81.12	$140.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $46.72 / $79.56	Professional		$32.46	$46.72	$79.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $117.37 / $358.41	Facility		$81.63	$117.37	$358.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $90.47 / $514.16	Professional		$49.11	$90.47	$514.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $76.06 / $157.33	Professional		$41.95	$76.06	$157.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $59.80 / $119.54	Facility		$32.54	$59.80	$119.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $55.68 / $107.55	Professional		$32.54	$55.68	$107.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.83 / $103.95 / $183.50	Professional		$18.83	$103.95	$183.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $100.50 / $119.26	Facility		$67.31	$100.50	$119.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $78.37 / $81.34	Facility		$78.37	$78.37	$81.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $91.71 / $149.11	Professional		$57.67	$91.71	$149.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $110.98 / $208.63	Facility		$81.63	$110.98	$208.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $79.93 / $135.19	Professional		$49.43	$79.93	$135.19
United Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $96.19 / $168.96	Professional		$58.22	$96.19	$168.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $49.69 / $65.77	Professional		$35.31	$49.69	$65.77