Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $60.98 / $72.19	Facility		$60.98	$60.98	$72.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $73.45 / $99.47	Professional		$60.14	$73.45	$99.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $120.39 / $368.27	Facility		$100.57	$120.39	$368.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $158.63 / $611.85	Professional		$99.82	$158.63	$611.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.08 / $88.54 / $170.66	Facility		$66.08	$88.54	$170.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $88.54 / $158.44	Professional		$65.56	$88.54	$158.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $148.26 / $258.88	Professional		$27.52	$148.26	$258.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.54 / $100.57 / $100.57	Facility		$100.54	$100.57	$100.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $155.78 / $199.56	Professional		$101.12	$155.78	$199.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $123.69 / $181.90	Professional		$100.95	$123.69	$181.90
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $129.34 / $211.63	Professional		$97.44	$129.34	$211.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $61.01 / $72.19	Professional		$61.01	$61.01	$72.19