Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $59.64 / $115.80	Facility		$44.73	$59.64	$115.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $43.42 / $62.80	Professional		$32.57	$43.42	$62.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $7.82 / $7.82 / $7.82	Professional	25	$7.82	$7.82	$7.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.02 / $80.00 / $180.13	Facility		$53.02	$80.00	$180.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $76.34 / $108.85	Professional		$52.50	$76.34	$108.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $81.97 / $144.43	Professional		$39.35	$81.97	$144.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $86.34 / $86.34	Facility		$86.34	$86.34	$86.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.34 / $86.34 / $86.34	Professional		$86.34	$86.34	$86.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $49.15 / $78.97	Professional		$9.16	$49.15	$78.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $78.34 / $85.00	Facility		$60.76	$78.34	$85.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $57.08 / $57.08	Facility		$52.02	$57.08	$57.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $86.30 / $108.85	Professional		$52.50	$86.30	$108.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $77.47 / $106.26	Professional		$57.71	$77.47	$106.26
United Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $59.52 / $111.16	Professional		$48.36	$59.52	$111.16