Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.67 / $85.51 / $89.28	Facility		$37.67	$85.51	$89.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $37.67 / $90.23	Professional		$28.59	$37.67	$90.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $312.25 / $312.25	Facility		$58.21	$312.25	$312.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $58.71 / $331.07	Professional		$47.20	$58.71	$331.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $39.94	Facility		$39.94	$39.94	$39.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $33.95 / $49.34	Professional		$33.95	$33.95	$49.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $67.37 / $113.47	Facility		$39.17	$67.37	$113.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $67.81 / $119.16	Professional		$39.36	$67.81	$119.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $50.97 / $56.06	Professional		$45.87	$50.97	$56.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $64.92 / $66.48	Facility		$59.61	$64.92	$66.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $66.48 / $66.48	Professional		$58.10	$66.48	$66.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.18 / $58.21 / $107.64	Facility		$55.18	$58.21	$107.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $62.97 / $95.54	Professional		$55.18	$62.97	$95.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $56.51 / $73.13	Professional		$52.82	$56.51	$73.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $28.19 / $53.78	Professional		$26.06	$28.19	$53.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $38.95 / $38.95	Professional		$33.31	$38.95	$38.95