Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $81.15 / $84.73	Facility		$35.75	$81.15	$84.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $35.75 / $85.64	Professional		$17.79	$35.75	$85.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $296.43 / $296.43	Facility		$55.25	$296.43	$296.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.72 / $314.24	Professional		$45.00	$55.72	$314.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $46.83	Facility		$37.90	$37.90	$46.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $46.83	Professional		$32.22	$32.22	$46.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $64.19 / $108.74	Facility		$37.35	$64.19	$108.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $64.36 / $114.19	Professional		$37.51	$64.36	$114.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $54.80 / $66.97	Professional		$47.98	$54.80	$66.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.09 / $61.62 / $63.10	Facility		$50.09	$61.62	$63.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $63.10 / $63.10	Professional		$50.13	$63.10	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $55.25 / $102.17	Facility		$52.38	$55.25	$102.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $59.77 / $90.69	Professional		$52.38	$59.77	$90.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $53.64 / $69.41	Professional		$50.13	$53.64	$69.41
United Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $28.86 / $51.05	Professional		$25.19	$28.86	$51.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $56.20 / $56.20	Professional		$40.26	$56.20	$56.20