Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.60 / $83.60 / $83.60	Facility		$83.60	$83.60	$83.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $75.56 / $93.41	Professional		$61.81	$75.56	$93.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $132.47 / $390.66 / $390.66	Facility		$132.47	$390.66	$390.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $183.25 / $651.98	Professional		$107.18	$183.25	$651.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $69.04 / $69.04	Professional		$69.04	$69.04	$69.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $140.16 / $198.11	Facility		$71.61	$140.16	$198.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $129.37 / $198.11	Professional		$70.40	$129.37	$198.11
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 $110.74 / $150.41 / $156.11	Facility		$110.74	$150.41	$156.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $177.62 / $217.15	Professional		$113.70	$177.62	$217.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $151.57 / $201.78	Professional		$107.18	$151.57	$201.78
United Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $131.08 / $223.73	Professional		$85.64	$131.08	$223.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $64.04 / $76.98	Professional		$64.04	$64.04	$76.98