Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $43.43 / $48.40	Facility		$43.43	$43.43	$48.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $48.99 / $69.23	Professional		$40.71	$48.99	$69.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.67 / $80.83 / $246.06	Facility		$70.67	$80.83	$246.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $106.12 / $411.45	Professional		$66.98	$106.12	$411.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.92 / $61.53 / $118.62	Facility		$45.92	$61.53	$118.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $61.53 / $109.59	Professional		$45.37	$61.53	$109.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $49.83 / $86.03	Professional		$9.16	$49.83	$86.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $70.67 / $70.67	Facility		$67.64	$70.67	$70.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $105.07 / $134.25	Professional		$69.62	$105.07	$134.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $82.65 / $124.50	Professional		$68.64	$82.65	$124.50
United Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $92.26 / $140.46	Professional		$67.73	$92.26	$140.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $40.86 / $48.40	Professional		$40.86	$40.86	$48.40