Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $36.78	Facility		$36.78	$36.78	$36.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $33.31 / $41.12	Professional		$27.20	$33.31	$41.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $165.80 / $165.80	Facility		$59.21	$165.80	$165.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $79.95 / $280.35	Professional		$47.12	$79.95	$280.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Professional		$29.76	$29.76	$29.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $61.13 / $88.05	Facility		$31.93	$61.13	$88.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $57.50 / $88.05	Professional		$31.29	$57.50	$88.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $54.86 / $92.99	Professional		$9.16	$54.86	$92.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.49 / $65.33 / $68.34	Facility		$49.49	$65.33	$68.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $77.23 / $94.67	Professional		$50.45	$77.23	$94.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $65.70 / $88.95	Professional		$47.12	$65.70	$88.95
United Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $58.58 / $101.62	Professional		$37.58	$58.58	$101.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $27.61 / $33.31	Professional		$27.61	$27.61	$33.31