Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $77.36 / $83.26	Facility		$77.36	$77.36	$83.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $62.39 / $84.25	Professional		$48.78	$62.39	$84.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.39 / $293.80 / $293.80	Facility		$110.39	$293.80	$293.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $139.62 / $495.53	Professional		$82.24	$139.62	$495.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $64.77	Professional		$55.95	$55.95	$64.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $107.25 / $154.63	Facility		$57.57	$107.25	$154.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $100.28 / $161.21	Professional		$56.94	$100.28	$161.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $108.07 / $185.50	Professional		$18.35	$108.07	$185.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $123.28 / $127.30	Facility		$77.98	$123.28	$127.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $86.07 / $86.07	Facility		$86.07	$86.07	$86.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $138.13 / $171.21	Professional		$86.83	$138.13	$171.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $116.76 / $156.72	Professional		$82.24	$116.76	$156.72
United Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $103.67 / $181.52	Professional		$67.68	$103.67	$181.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $51.90 / $66.66	Professional		$51.90	$51.90	$66.66