Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $53.51 / $53.51	Facility		$47.68	$53.51	$53.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $43.65 / $53.51	Professional		$33.52	$43.65	$53.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.16 / $77.26 / $252.67	Facility		$61.16	$77.26	$252.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $100.00 / $415.43	Professional		$61.39	$100.00	$415.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $42.56 / $42.56	Professional		$42.56	$42.56	$42.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $54.32 / $105.92	Facility		$39.68	$54.32	$105.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $54.34 / $89.98	Professional		$39.68	$54.34	$89.98
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 $62.89 / $87.21 / $95.81	Facility		$62.89	$87.21	$95.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.16 / $61.16 / $65.34	Facility		$61.16	$61.16	$65.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $97.96 / $129.72	Professional		$65.34	$97.96	$129.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $77.52 / $112.88	Professional		$62.37	$77.52	$112.88
United Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $72.56 / $124.00	Professional		$54.12	$72.56	$124.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $39.47 / $47.68	Professional		$39.47	$39.47	$47.68