Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.55 / $128.75 / $202.30	Facility		$83.55	$128.75	$202.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $76.00 / $194.39	Professional		$59.31	$76.00	$194.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $328.49 / $328.49	Facility		$134.47	$328.49	$328.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.21 / $158.32 / $464.35	Professional		$99.21	$158.32	$464.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $131.66 / $216.56	Professional		$78.50	$131.66	$216.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.12 / $254.12 / $254.12	Professional		$254.12	$254.12	$254.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $75.00	Professional		$30.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $142.91 / $146.72	Facility		$105.84	$142.91	$146.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $165.42 / $196.84	Professional		$106.38	$165.42	$196.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $138.54 / $184.95	Professional		$100.30	$138.54	$184.95
United Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $120.45 / $214.46	Professional		$78.98	$120.45	$214.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $76.09 / $76.09	Professional		$59.91	$76.09	$76.09