Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $37.40 / $84.90	Facility		$37.40	$37.40	$84.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $35.18 / $45.95	Professional		$23.85	$35.18	$45.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $233.65 / $233.65	Facility		$119.42	$233.65	$233.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $119.74 / $384.23	Professional		$41.44	$119.74	$384.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Professional		$36.29	$36.29	$36.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $74.08 / $116.62	Facility		$44.20	$74.08	$116.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $73.26 / $116.62	Professional		$42.28	$73.26	$116.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $87.20 / $88.44	Facility		$72.59	$87.20	$88.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $99.96 / $123.72	Professional		$62.09	$99.96	$123.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $92.93 / $133.54	Professional		$89.30	$92.93	$133.54
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.58 / $47.64	Professional		$19.05	$28.58	$47.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50