Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.40 / $48.89	Facility		$27.03	$31.40	$48.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $25.20 / $33.99	Professional		$21.31	$25.20	$33.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $67.64 / $142.59	Facility		$38.04	$67.64	$142.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $74.55 / $265.37	Professional		$38.68	$74.55	$265.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.04	Professional		$44.04	$44.04	$44.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $31.12 / $59.88	Facility		$21.28	$31.12	$59.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $31.14 / $55.10	Professional		$21.28	$31.14	$55.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $49.24 / $88.91	Professional		$9.36	$49.24	$88.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.88 / $81.34 / $99.16	Facility		$47.88	$81.34	$99.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $67.64	Facility		$38.04	$38.04	$67.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $65.84 / $112.82	Professional		$38.18	$65.84	$112.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $53.79 / $102.42	Professional		$38.81	$53.79	$102.42
United Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $43.77 / $78.86	Professional		$32.13	$43.77	$78.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $40.86 / $48.89	Professional		$40.86	$40.86	$48.89