Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $89.71 / $93.66	Facility		$39.52	$89.71	$93.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $39.52 / $94.67	Professional		$29.99	$39.52	$94.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $327.64 / $327.64	Facility		$61.08	$327.64	$327.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $61.61 / $347.36	Professional		$49.41	$61.61	$347.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $37.70	Facility		$37.70	$37.70	$37.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $49.30	Professional		$28.46	$32.04	$49.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $71.08 / $119.77	Facility		$40.99	$71.08	$119.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $71.14 / $125.78	Professional		$41.54	$71.14	$125.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $69.75 / $75.00	Professional		$60.00	$69.75	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $68.12 / $69.75	Facility		$55.36	$68.12	$69.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $69.75 / $69.75	Professional		$60.95	$69.75	$69.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $61.08 / $112.94	Facility		$57.90	$61.08	$112.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $66.08 / $100.25	Professional		$57.90	$66.08	$100.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $59.29 / $76.73	Professional		$55.41	$59.29	$76.73
United Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $31.91 / $56.43	Professional		$27.56	$31.91	$56.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $40.86 / $44.60	Professional		$40.86	$40.86	$44.60