Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.40 / $59.87 / $59.87	Facility		$48.40	$59.87	$59.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $47.85 / $59.87	Professional		$41.38	$47.85	$59.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.67 / $80.83 / $246.06	Facility		$70.67	$80.83	$246.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $107.03 / $411.45	Professional		$67.56	$107.03	$411.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.20 / $61.90 / $119.38	Facility		$46.20	$61.90	$119.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $61.90 / $109.66	Professional		$45.37	$61.90	$109.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $49.83 / $86.03	Professional		$9.16	$49.83	$86.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $97.80 / $106.08	Facility		$65.08	$97.80	$106.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $70.67 / $70.67	Facility		$67.64	$70.67	$70.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $105.07 / $134.25	Professional		$69.62	$105.07	$134.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $82.65 / $124.50	Professional		$68.64	$82.65	$124.50
United Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $90.48 / $145.04	Professional		$67.76	$90.48	$145.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $40.86 / $48.40	Professional		$40.86	$40.86	$48.40