Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $38.47 / $38.47	Facility		$38.47	$38.47	$38.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $53.04 / $116.15	Professional		$38.47	$53.04	$116.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $246.01 / $246.01	Facility		$75.00	$246.01	$246.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $114.93 / $404.63	Professional		$64.22	$114.93	$404.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Professional		$38.22	$38.22	$38.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.29 / $92.22 / $132.66	Facility		$49.29	$92.22	$132.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $81.06 / $132.66	Professional		$44.74	$81.06	$132.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $91.83 / $93.13	Facility		$76.45	$91.83	$93.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $105.96 / $130.10	Professional		$67.83	$105.96	$130.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $90.42 / $121.22	Professional		$64.22	$90.42	$121.22
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $80.95 / $309.39	Professional		$52.00	$80.95	$309.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $22.38 / $115.00	Professional		$22.38	$22.38	$115.00