Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $77.58 / $97.06	Facility		$39.83	$77.58	$97.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $33.82 / $53.95	Professional		$28.47	$33.82	$53.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $80.00 / $486.98	Facility		$48.47	$80.00	$486.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $68.17 / $589.67	Professional		$39.86	$68.17	$589.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $61.37 / $93.36	Professional		$38.34	$61.37	$93.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $121.88 / $121.88	Professional		$121.88	$121.88	$121.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $22.00 / $30.69	Professional		$18.00	$22.00	$30.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $68.12 / $69.68	Facility		$51.36	$68.12	$69.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $48.47 / $48.47	Facility		$45.08	$48.47	$48.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $73.80 / $92.99	Professional		$47.33	$73.80	$92.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $60.84 / $86.32	Professional		$47.63	$60.84	$86.32
United Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $58.29 / $100.40	Professional		$43.47	$58.29	$100.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $33.90 / $36.44	Professional		$28.71	$33.90	$36.44