Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $79.78 / $79.78	Facility		$79.78	$79.78	$79.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $56.22 / $79.78	Professional		$29.70	$56.22	$79.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.42 / $184.32 / $184.32	Facility		$70.42	$184.32	$184.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $110.08 / $383.65	Professional		$53.07	$110.08	$383.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $79.95 / $160.50	Facility		$39.56	$79.95	$160.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $78.83 / $155.90	Professional		$37.89	$78.83	$155.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $107.92 / $185.50	Professional		$18.35	$107.92	$185.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $112.82 / $129.88	Facility		$75.20	$112.82	$129.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $81.09 / $81.09	Facility		$81.09	$81.09	$81.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $94.71 / $159.65	Professional		$61.51	$94.71	$159.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $83.04 / $136.66	Professional		$54.03	$83.04	$136.66
United Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $114.46 / $192.05	Professional		$72.06	$114.46	$192.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $47.21 / $62.31	Professional		$47.21	$47.21	$62.31