Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.29 / $57.73 / $104.94	Facility		$50.29	$57.73	$104.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $53.01 / $61.14	Professional		$52.49	$53.01	$61.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $72.20 / $242.65	Facility		$47.05	$72.20	$242.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $57.74 / $218.09	Professional		$52.49	$57.74	$218.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.40 / $49.52 / $97.06	Facility		$49.40	$49.52	$97.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $64.37	Professional		$52.49	$52.49	$64.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $67.91 / $124.91	Facility		$44.80	$67.91	$124.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $67.20 / $113.80	Professional		$46.50	$67.20	$113.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $75.00	Professional		$30.00	$60.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $52.49 / $85.04	Facility		$48.14	$52.49	$85.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $75.28 / $131.74	Facility		$42.35	$75.28	$131.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $62.91 / $113.70	Professional		$52.20	$62.91	$113.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $57.74 / $106.55	Facility		$48.14	$57.74	$106.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $57.74 / $62.98	Professional		$52.49	$57.74	$62.98
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $62.99	Professional		$52.49	$52.49	$62.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $52.49 / $52.49	Professional		$49.40	$52.49	$52.49