Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $86.71 / $115.45	Facility		$54.86	$86.71	$115.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $54.86 / $109.48	Professional		$38.32	$54.86	$109.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $76.62 / $189.21	Facility		$55.30	$76.62	$189.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $97.58 / $336.75	Professional		$56.87	$97.58	$336.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $67.79 / $123.39	Professional		$44.08	$67.79	$123.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $73.01 / $105.47	Facility		$47.10	$73.01	$105.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $80.47 / $114.90	Professional		$48.28	$80.47	$114.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $50.86 / $90.24	Professional		$8.92	$50.86	$90.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.11 / $81.06 / $83.08	Facility		$59.11	$81.06	$83.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $55.30 / $56.17	Facility		$55.30	$55.30	$56.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $93.59 / $109.81	Professional		$56.87	$93.59	$109.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $76.92 / $107.15	Professional		$56.62	$76.92	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $40.43 / $40.43	Facility		$40.43	$40.43	$40.43
United Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $65.78 / $120.90	Professional		$52.77	$65.78	$120.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $44.62 / $44.62	Professional		$44.62	$44.62	$44.62