Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.17 / $59.17 / $59.17	Facility		$59.17	$59.17	$59.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $53.53 / $66.20	Professional		$43.79	$53.53	$66.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.09 / $277.93 / $277.93	Facility		$93.09	$277.93	$277.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $130.10 / $456.68	Professional		$74.84	$130.10	$456.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $49.10	Professional		$49.10	$49.10	$49.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $99.41 / $139.99	Facility		$50.53	$99.41	$139.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $91.42 / $139.99	Professional		$49.75	$91.42	$139.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $108.13 / $185.83	Professional		$18.07	$108.13	$185.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $106.96 / $109.88	Facility		$78.40	$106.96	$109.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $125.02 / $153.50	Professional		$80.50	$125.02	$153.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $106.27 / $142.02	Professional		$74.84	$106.27	$142.02
United Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $88.62 / $158.36	Professional		$58.41	$88.62	$158.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $54.74	Professional		$45.55	$45.55	$54.74