Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $86.96 / $124.39	Facility		$28.04	$86.96	$124.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $48.28 / $87.40	Professional		$28.04	$48.28	$87.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.05 / $78.05 / $78.05	Professional	25	$78.05	$78.05	$78.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $92.41 / $118.33 / $221.04	Facility		$92.41	$118.33	$221.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $112.61 / $314.14	Professional		$64.52	$112.61	$314.14
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $71.95 / $85.94 / $107.43	Professional	25	$71.95	$85.94	$107.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $89.38 / $163.90	Professional		$33.89	$89.38	$163.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $41.30 / $87.00	Facility		$22.94	$41.30	$87.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $41.44 / $86.82	Professional		$23.15	$41.44	$86.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $98.06 / $172.66	Professional		$18.61	$98.06	$172.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $95.48 / $145.38	Facility		$52.66	$95.48	$145.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.41 / $92.41 / $94.07	Facility		$92.41	$92.41	$94.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $116.58 / $167.96	Professional		$68.97	$116.58	$167.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $93.43 / $150.16	Professional		$67.78	$93.43	$150.16
United Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $70.68 / $189.65	Professional		$54.56	$70.68	$189.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $60.19 / $79.59	Professional		$47.59	$60.19	$79.59