Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $75.28 / $141.56	Facility		$58.50	$75.28	$141.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $58.50 / $139.27	Professional		$41.72	$58.50	$139.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $70.67 / $163.47	Facility		$48.99	$70.67	$163.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $91.31 / $330.34	Professional		$48.99	$91.31	$330.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $87.91 / $114.46	Professional		$42.54	$87.91	$114.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $93.32 / $126.86	Facility		$49.91	$93.32	$126.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $96.94 / $129.37	Professional		$54.45	$96.94	$129.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $52.31 / $93.80	Professional		$9.98	$52.31	$93.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $75.70 / $103.18	Facility		$62.10	$75.70	$103.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $70.67	Facility		$48.99	$48.99	$70.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $84.37 / $109.88	Professional		$48.99	$84.37	$109.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $76.00 / $106.04	Professional		$63.63	$76.00	$106.04
United Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $73.31 / $134.26	Professional		$55.58	$73.31	$134.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $37.85 / $39.82	Professional		$31.19	$37.85	$39.82