Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $106.85 / $111.56	Facility		$47.07	$106.85	$111.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $47.07 / $111.56	Professional		$41.84	$47.07	$111.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $147.94 / $368.08	Facility		$61.08	$147.94	$368.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $62.25 / $446.11	Professional		$50.92	$62.25	$446.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $43.58	Facility		$43.58	$43.58	$43.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $43.58	Professional		$31.81	$31.81	$43.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $74.26 / $191.15	Facility		$43.68	$74.26	$191.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $75.09 / $148.12	Professional		$43.72	$75.09	$148.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $53.47 / $58.81	Professional		$48.12	$53.47	$58.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.38 / $68.12 / $89.58	Facility		$55.38	$68.12	$89.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $69.75 / $89.58	Professional		$55.41	$69.75	$89.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $78.34 / $136.24	Facility		$61.08	$78.34	$136.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $57.90 / $81.42	Professional		$57.90	$57.90	$81.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $68.12 / $68.12	Facility		$66.39	$68.12	$68.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $59.29 / $76.73	Professional		$55.41	$59.29	$76.73
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $34.86 / $66.39	Professional		$32.18	$34.86	$66.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $41.79	Professional		$31.22	$31.22	$41.79