Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.22 / $111.11 / $175.21	Facility		$72.22	$111.11	$175.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $65.89 / $168.36	Professional		$51.69	$65.89	$168.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $116.54 / $284.58 / $284.58	Facility		$116.54	$284.58	$284.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $137.50 / $404.24	Professional		$81.70	$137.50	$404.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $114.49 / $187.57	Professional		$68.44	$114.49	$187.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.06 / $220.06 / $220.06	Professional		$220.06	$220.06	$220.06
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 $92.12 / $123.81 / $127.97	Facility		$92.12	$123.81	$127.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $143.05 / $170.75	Professional		$91.74	$143.05	$170.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $120.32 / $159.84	Professional		$87.48	$120.32	$159.84
United Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $101.59 / $188.75	Professional		$67.62	$101.59	$188.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $65.92 / $65.92	Professional		$51.90	$65.92	$65.92