Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $43.78 / $47.40	Facility		$43.78	$43.78	$47.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $48.56 / $69.20	Professional		$39.89	$48.56	$69.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $79.23 / $240.95	Facility		$71.56	$79.23	$240.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $106.07 / $402.98	Professional		$66.17	$106.07	$402.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $43.15	Professional		$43.15	$43.15	$43.15
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 $44.43 / $61.53 / $108.11	Professional		$44.43	$61.53	$108.11
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 $66.27 / $71.56 / $71.56	Facility		$66.27	$71.56	$71.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $102.89 / $131.53	Professional		$68.20	$102.89	$131.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $80.94 / $123.32	Professional		$69.08	$80.94	$123.32
United Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $83.45 / $137.74	Professional		$66.36	$83.45	$137.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $40.03 / $47.40	Professional		$40.03	$40.03	$47.40