Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $76.16 / $109.70	Facility		$50.95	$76.16	$109.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.78 / $71.20	Professional		$46.32	$46.78	$71.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $83.13 / $232.69	Facility		$52.95	$83.13	$232.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $55.59 / $238.04	Professional		$46.32	$55.59	$238.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $46.32 / $92.70	Facility		$43.70	$46.32	$92.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $56.81	Professional		$46.32	$46.32	$56.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $60.22 / $255.87	Facility		$46.32	$60.22	$255.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $193.89	Professional		$46.32	$46.32	$193.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $50.98 / $62.57	Professional		$46.32	$50.98	$62.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $52.74 / $89.66	Facility		$46.32	$52.74	$89.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $99.71 / $174.49	Facility		$56.09	$99.71	$174.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $67.11 / $121.29	Professional		$58.66	$67.11	$121.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $64.48 / $117.89	Facility		$50.95	$64.48	$117.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $50.95 / $55.59	Professional		$46.32	$50.95	$55.59
United Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $46.35	Facility		$46.35	$46.35	$46.35
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $55.58	Professional		$46.32	$46.32	$55.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $52.70	Professional		$46.32	$46.32	$52.70