Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $46.62 / $46.62	Facility		$46.62	$46.62	$46.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $63.00 / $102.01	Professional		$46.62	$63.00	$102.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $88.77 / $295.58 / $295.58	Facility		$88.77	$295.58	$295.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $138.08 / $486.15	Professional		$77.15	$138.08	$486.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional		$45.92	$45.92	$45.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $110.78 / $159.37	Facility		$59.21	$110.78	$159.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $97.25 / $159.37	Professional		$53.81	$97.25	$159.37
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 $91.85 / $110.32 / $111.89	Facility		$91.85	$110.32	$111.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $127.30 / $156.31	Professional		$81.50	$127.30	$156.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $108.63 / $145.63	Professional		$77.15	$108.63	$145.63
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $99.50 / $271.73	Professional		$63.68	$99.50	$271.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $26.89 / $101.00	Professional		$26.89	$26.89	$101.00