Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.89 / $87.56 / $124.72	Facility		$56.89	$87.56	$124.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $52.89 / $73.43	Professional		$41.75	$52.89	$73.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $82.34 / $82.34 / $82.34	Professional	25	$82.34	$82.34	$82.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.18 / $93.36 / $224.03	Facility		$80.18	$93.36	$224.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $108.53 / $376.47	Professional		$65.03	$108.53	$376.47
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $45.22 / $67.98 / $87.72	Professional	25	$45.22	$67.98	$87.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $94.83 / $149.63	Professional		$62.59	$94.83	$149.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $66.03 / $122.76	Facility		$46.93	$66.03	$122.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $66.03 / $115.20	Professional		$46.93	$66.03	$115.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $98.46 / $160.01	Professional		$18.73	$98.46	$160.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $112.66 / $119.93	Facility		$71.95	$112.66	$119.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $80.18 / $80.18	Facility		$77.59	$80.18	$80.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $111.12 / $147.53	Professional		$72.48	$111.12	$147.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $92.18 / $134.72	Professional		$69.16	$92.18	$134.72
United Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $102.67 / $170.89	Professional		$77.88	$102.67	$170.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $51.97 / $63.81	Professional		$48.26	$51.97	$63.81