Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $28.87	Facility		$26.10	$26.10	$28.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $31.03 / $42.06	Professional		$24.07	$31.03	$42.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $131.00 / $131.00 / $145.00	Professional	25	$131.00	$131.00	$145.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $278.77 / $278.77	Facility		$47.11	$278.77	$278.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $57.87 / $114.28	Professional		$32.28	$57.87	$114.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $30.95 / $38.63	Professional		$30.95	$30.95	$38.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $35.35 / $70.87	Facility		$26.28	$35.35	$70.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $35.64 / $65.77	Professional		$26.60	$35.64	$65.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $50.46 / $87.33	Professional		$9.84	$50.46	$87.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.62 / $66.95 / $69.01	Facility		$44.62	$66.95	$69.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $70.30 / $89.62	Professional		$46.88	$70.30	$89.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $63.79 / $97.86	Facility		$63.79	$63.79	$97.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $57.76 / $80.75	Professional		$43.89	$57.76	$80.75
United Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $61.93 / $99.44	Professional		$38.76	$61.93	$99.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $33.90 / $33.90	Professional		$28.71	$33.90	$33.90