Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.20 / $33.20 / $42.34	Facility		$33.20	$33.20	$42.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $36.36 / $54.57	Professional		$24.41	$36.36	$54.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $75.00 / $216.42	Facility		$55.27	$75.00	$216.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $96.89 / $348.98	Professional		$55.13	$96.89	$348.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $38.69 / $38.69	Professional		$38.69	$38.69	$38.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $63.22 / $99.56	Facility		$35.96	$63.22	$99.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $66.81 / $99.56	Professional		$36.29	$66.81	$99.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $52.65 / $94.12	Professional		$9.91	$52.65	$94.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.91 / $79.06 / $87.69	Facility		$58.91	$79.06	$87.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $55.27 / $57.58	Facility		$55.27	$55.27	$57.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $93.59 / $114.29	Professional		$63.19	$93.59	$114.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $80.68 / $108.23	Professional		$56.36	$80.68	$108.23
United Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $67.08 / $116.83	Professional		$44.72	$67.08	$116.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $35.89 / $35.89	Professional		$35.89	$35.89	$35.89