Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $90.64 / $112.85	Facility		$45.49	$90.64	$112.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $40.92 / $63.07	Professional		$32.99	$40.92	$63.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $74.83 / $178.64	Facility		$52.89	$74.83	$178.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $73.13 / $685.57	Professional		$45.61	$73.13	$685.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $71.73 / $107.02	Professional		$45.08	$71.73	$107.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $139.37 / $143.33	Professional		$139.37	$139.37	$143.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $25.69 / $36.19	Professional		$21.02	$25.69	$36.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $79.73 / $83.64	Facility		$58.62	$79.73	$83.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $56.63 / $56.63	Facility		$52.89	$56.63	$56.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $84.26 / $107.46	Professional		$52.89	$84.26	$107.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $70.79 / $100.42	Professional		$55.18	$70.79	$100.42
United Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $70.19 / $116.82	Professional		$50.82	$70.19	$116.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $39.52 / $42.58	Professional		$33.40	$39.52	$42.58