Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.16 / $72.16 / $146.18	Facility		$72.16	$72.16	$146.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $60.66 / $72.16	Professional		$48.72	$60.66	$72.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $105.18 / $381.00	Facility		$65.73	$105.18	$381.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $342.83 / $459.90	Professional		$68.22	$342.83	$459.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $70.36 / $84.30	Professional		$64.56	$70.36	$84.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.11 / $94.71 / $144.77	Facility		$56.11	$94.71	$144.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $92.16 / $144.77	Professional		$56.11	$92.16	$144.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $71.01 / $80.00	Professional		$64.56	$71.01	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $104.38 / $105.86	Facility		$86.90	$104.38	$105.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $78.89 / $114.04	Facility		$65.73	$78.89	$114.04
United Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $73.09 / $73.09	Facility		$73.09	$73.09	$73.09
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $87.71	Professional		$73.09	$73.09	$87.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $62.13 / $62.13	Professional		$62.13	$62.13	$62.13