Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.32 / $119.20 / $148.12	Facility		$61.32	$119.20	$148.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $54.43 / $107.92	Professional		$43.28	$54.43	$107.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $98.62 / $876.56	Facility		$73.39	$98.62	$876.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $105.94 / $1,028.34	Professional		$69.28	$105.94	$1,028.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $94.37 / $143.49	Professional		$59.35	$94.37	$143.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $187.33 / $187.33	Professional		$187.33	$187.33	$187.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $83.44 / $173.70	Professional		$59.44	$83.44	$173.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $104.69 / $108.51	Facility		$77.04	$104.69	$108.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.36 / $73.39 / $73.39	Facility		$69.36	$73.39	$73.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $113.54 / $143.47	Professional		$72.81	$113.54	$143.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $93.60 / $132.80	Professional		$73.28	$93.60	$132.80
United Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $92.22 / $154.47	Professional		$67.31	$92.22	$154.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $51.85 / $55.74	Professional		$43.89	$51.85	$55.74