Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $79.61 / $83.12	Facility		$35.07	$79.61	$83.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $35.07 / $92.67	Professional		$24.96	$35.07	$92.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $305.60 / $305.60	Facility		$54.20	$305.60	$305.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $55.28 / $366.48	Professional		$45.08	$55.28	$366.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $41.02	Facility		$41.02	$41.02	$41.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $50.67	Professional		$34.86	$34.86	$50.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $55.59 / $71.18 / $124.92	Facility		$55.59	$71.18	$124.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $75.31 / $124.92	Professional		$55.59	$75.31	$124.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $47.46 / $52.20	Professional		$42.71	$47.46	$52.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.71 / $58.04 / $66.68	Facility		$55.71	$58.04	$66.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Professional		$50.71	$50.71	$50.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $54.20 / $100.23	Facility		$51.38	$54.20	$100.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $58.64 / $88.97	Professional		$51.38	$58.64	$88.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $52.62 / $65.00	Professional		$49.18	$52.62	$65.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $28.96 / $55.24	Professional		$26.77	$28.96	$55.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $34.01 / $34.01	Professional		$29.08	$34.01	$34.01