Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $38.53 / $38.53	Facility		$38.53	$38.53	$38.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $34.77 / $43.02	Professional		$28.47	$34.77	$43.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $180.58 / $180.58	Facility		$60.96	$180.58	$180.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $84.88 / $299.25	Professional		$49.43	$84.88	$299.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $31.84 / $31.84	Professional		$31.84	$31.84	$31.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $64.83 / $90.69	Facility		$32.86	$64.83	$90.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $59.22 / $90.69	Professional		$32.22	$59.22	$90.69
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 $50.96 / $69.30 / $71.69	Facility		$50.96	$69.30	$71.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $81.56 / $100.15	Professional		$52.22	$81.56	$100.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $69.59 / $92.66	Professional		$49.43	$69.59	$92.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $60.32 / $103.31	Professional		$38.60	$60.32	$103.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $35.47	Professional		$29.54	$29.54	$35.47