Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $60.12 / $83.40	Facility		$38.71	$60.12	$83.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $40.67 / $59.06	Professional		$30.08	$40.67	$59.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $69.79 / $160.47	Facility		$63.42	$69.79	$160.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $79.98 / $298.80	Professional		$47.17	$79.98	$298.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $71.56 / $118.46	Professional		$43.80	$71.56	$118.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $49.28 / $87.06	Facility		$31.91	$49.28	$87.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $48.49 / $81.54	Professional		$31.91	$48.49	$81.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $99.92 / $162.31	Professional		$18.57	$99.92	$162.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $78.09 / $95.14	Facility		$56.65	$78.09	$95.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $63.42 / $69.79	Facility		$63.42	$63.42	$69.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $81.00 / $114.53	Professional		$50.62	$81.00	$114.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $65.45 / $101.81	Professional		$47.17	$65.45	$101.81
United Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $81.20 / $133.33	Professional		$61.61	$81.20	$133.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $43.07 / $57.02	Professional		$34.59	$43.07	$57.02