Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $125.37 / $177.26	Facility		$79.41	$125.37	$177.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $125.37 / $195.30	Professional		$64.28	$125.37	$195.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $112.38 / $210.72	Facility		$87.80	$112.38	$210.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $167.63 / $526.09	Professional		$80.08	$167.63	$526.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $132.55 / $210.38	Professional		$68.45	$132.55	$210.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.02 / $121.32 / $180.57	Facility		$66.02	$121.32	$180.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $141.88 / $180.57	Professional		$66.95	$141.88	$180.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $74.72 / $152.22	Professional		$47.04	$74.72	$152.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.39 / $138.30 / $144.84	Facility		$103.39	$138.30	$144.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $105.36 / $192.48	Facility		$87.80	$105.36	$192.48
United Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $110.00 / $204.68	Professional		$83.07	$110.00	$204.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $57.98 / $73.33	Professional		$57.98	$57.98	$73.33