Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $54.20 / $71.13	Facility		$45.57	$54.20	$71.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $45.16 / $55.44	Professional		$38.15	$45.16	$55.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $99.17 / $236.62	Facility		$64.78	$99.17	$236.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $124.86 / $403.88	Professional		$66.06	$124.86	$403.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $60.06 / $114.62	Facility		$42.28	$60.06	$114.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $57.40 / $107.98	Professional		$42.28	$57.40	$107.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $99.31 / $173.59	Professional		$18.44	$99.31	$173.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $118.72 / $145.38	Facility		$71.23	$118.72	$145.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $64.78 / $99.17	Facility		$64.78	$64.78	$99.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $108.05 / $165.42	Professional		$66.17	$108.05	$165.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $91.11 / $155.59	Professional		$66.06	$91.11	$155.59
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $82.95 / $136.18	Professional		$62.92	$82.95	$136.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $59.63 / $71.13	Professional		$59.63	$59.63	$71.13