Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $70.59 / $73.70	Facility		$31.10	$70.59	$73.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $31.10 / $73.70	Professional		$16.80	$31.10	$73.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $104.52 / $258.29	Facility		$48.06	$104.52	$258.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $48.06 / $402.00	Professional		$45.56	$48.06	$402.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $73.81 / $107.63	Facility		$44.56	$73.81	$107.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $73.94 / $107.63	Professional		$44.56	$73.94	$107.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $46.27 / $46.27	Professional		$37.86	$46.27	$46.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $53.60 / $60.38	Facility		$43.56	$53.60	$60.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $54.89 / $54.89	Professional		$49.40	$54.89	$54.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.56 / $48.06 / $88.87	Facility		$45.56	$48.06	$88.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $53.60 / $61.64	Professional		$45.56	$53.60	$61.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $46.66 / $54.89	Professional		$44.33	$46.66	$54.89
United Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $28.00 / $44.40	Professional		$22.15	$28.00	$44.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $46.66	Professional		$23.57	$23.57	$46.66