Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.84 / $34.84 / $34.84	Facility		$34.84	$34.84	$34.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $29.45 / $37.72	Professional		$21.01	$29.45	$37.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $123.58 / $123.58	Facility		$45.88	$123.58	$123.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $167.71 / $205.05	Professional		$46.26	$167.71	$205.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $36.89 / $36.89	Professional		$36.89	$36.89	$36.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $63.14 / $109.29	Facility		$30.01	$63.14	$109.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $55.20 / $78.69	Professional		$29.76	$55.20	$78.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $47.95 / $48.91	Facility		$35.96	$47.95	$48.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $77.68 / $77.68	Professional		$56.00	$77.68	$77.68
United Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $83.00	Professional		$76.00	$76.00	$83.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Professional		$48.00	$48.00	$48.00