Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $70.94 / $74.06	Facility		$31.25	$70.94	$74.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $31.25 / $74.84	Professional		$24.62	$31.25	$74.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.29 / $242.75 / $242.75	Facility		$48.29	$242.75	$242.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $48.29 / $285.14	Professional		$38.60	$48.29	$285.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $24.24 / $45.89	Professional		$24.24	$24.24	$45.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $59.21 / $101.65	Facility		$35.34	$59.21	$101.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $60.47 / $108.18	Professional		$35.34	$60.47	$108.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $55.14 / $75.00	Professional		$55.14	$55.14	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $53.85 / $57.26	Facility		$43.78	$53.85	$57.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $55.14 / $57.26	Professional		$48.20	$55.14	$57.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $48.29 / $89.28	Facility		$45.77	$48.29	$89.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $52.23 / $79.26	Professional		$45.77	$52.23	$79.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $46.87 / $60.65	Professional		$43.82	$46.87	$60.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $25.23 / $48.06	Professional		$23.29	$25.23	$48.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $29.24 / $29.24	Professional		$29.24	$29.24	$29.24