Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $61.21 / $3,424.61	Facility		$51.36	$61.21	$3,424.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $56.20 / $76.42	Professional		$55.64	$56.20	$76.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.09 / $74.45 / $259.25	Facility		$47.09	$74.45	$259.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $61.22 / $2,122.62	Professional		$55.65	$61.22	$2,122.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $52.50 / $126.03	Facility		$51.97	$52.50	$126.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $68.25	Professional		$55.65	$55.65	$68.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $55.65 / $117.47	Facility		$35.96	$55.65	$117.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $55.65 / $103.84	Professional		$35.96	$55.65	$103.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $60.59 / $75.00	Professional		$51.85	$60.59	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $63.00 / $115.75	Facility		$55.09	$63.00	$115.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $72.09 / $131.84	Facility		$41.11	$72.09	$131.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $66.18 / $119.61	Professional		$54.91	$66.18	$119.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $61.15 / $99.26	Facility		$49.63	$61.15	$99.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $61.22 / $66.78	Professional		$55.65	$61.22	$66.78
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $66.78	Professional		$55.65	$55.65	$66.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $55.65 / $55.65	Professional		$51.97	$55.65	$55.65