Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $34.32 / $215.64	Facility		$26.73	$34.32	$215.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $20.92 / $34.84	Professional		$17.54	$20.92	$34.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.06 / $92.34 / $494.91	Facility		$38.06	$92.34	$494.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.44 / $177.08	Professional		$22.39	$39.44	$177.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $34.15 / $62.31	Professional		$19.67	$34.15	$62.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $32.36 / $121.35	Facility		$19.60	$32.36	$121.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $30.03 / $50.75	Professional		$17.92	$30.03	$50.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $52.13 / $87.17	Professional		$9.69	$52.13	$87.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.05 / $39.84 / $40.20	Facility		$28.05	$39.84	$40.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $27.42	Facility		$25.37	$25.37	$27.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $43.37 / $54.43	Professional		$27.53	$43.37	$54.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $280.33 / $374.61 / $716.59	Facility		$280.33	$374.61	$716.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $36.74 / $48.72	Professional		$25.87	$36.74	$48.72
United Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $30.24 / $55.05	Professional		$19.60	$30.24	$55.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $23.83 / $23.83	Professional		$16.84	$23.83	$23.83