Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.79 / $65.34 / $68.23	Facility		$28.79	$65.34	$68.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $28.79 / $68.23	Professional		$19.17	$28.79	$68.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $90.46 / $227.17	Facility		$44.59	$90.46	$227.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $45.48 / $347.93	Professional		$40.61	$45.48	$347.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $68.42 / $106.70	Facility		$36.54	$68.42	$106.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $69.06 / $110.10	Professional		$36.89	$69.06	$110.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $49.24 / $50.72	Professional		$40.29	$49.24	$50.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $47.78 / $54.95	Facility		$43.00	$47.78	$54.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $49.02 / $53.92	Professional		$49.02	$49.02	$53.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $44.59 / $76.91	Facility		$39.43	$44.59	$76.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $46.39 / $53.62	Professional		$39.43	$46.39	$53.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $40.61 / $47.78	Professional		$38.58	$40.61	$47.78
United Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $28.67 / $48.59	Professional		$25.28	$28.67	$48.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $40.61	Professional		$26.10	$26.10	$40.61