Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $16.14 / $32.47	Facility		$16.14	$16.14	$32.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $27.59 / $43.54	Professional		$16.14	$27.59	$43.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $97.58 / $97.58	Facility		$80.00	$97.58	$97.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $71.90 / $242.72	Professional		$31.77	$71.90	$242.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $34.52	Professional		$34.52	$34.52	$34.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $49.98 / $106.70	Facility		$25.62	$49.98	$106.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $47.00 / $90.28	Professional		$24.01	$47.00	$90.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.29 / $54.21 / $96.35	Professional		$9.29	$54.21	$96.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $72.36 / $78.39	Facility		$49.25	$72.36	$78.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $51.19 / $51.19	Facility		$51.19	$51.19	$51.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $53.73 / $98.63	Professional		$33.34	$53.73	$98.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.66 / $374.61 / $478.95	Facility		$340.66	$374.61	$478.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $52.21 / $88.86	Professional		$29.35	$52.21	$88.86
United Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $61.70 / $110.06	Professional		$40.82	$61.70	$110.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $33.34 / $42.96	Professional		$32.02	$33.34	$42.96