Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $53.40 / $111.49	Facility		$47.04	$53.40	$111.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $43.19 / $186.00	Professional		$34.04	$43.19	$186.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $160.41 / $352.17	Facility		$61.03	$160.41	$352.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $62.19 / $425.75	Professional		$50.87	$62.19	$425.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $69.00	Facility		$46.70	$46.70	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $69.00	Professional		$34.09	$34.09	$69.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $70.03 / $186.56	Facility		$40.95	$70.03	$186.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $71.08 / $138.19	Professional		$40.99	$71.08	$138.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $65.68 / $73.97	Professional		$59.11	$65.68	$73.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $65.38 / $69.69	Facility		$55.31	$65.38	$69.69
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $69.69 / $69.69	Professional		$62.08	$69.69	$69.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $78.27 / $136.12	Facility		$61.03	$78.27	$136.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $57.85 / $94.61	Professional		$57.85	$57.85	$94.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $68.06 / $68.06	Facility		$66.34	$68.06	$68.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $59.24 / $76.66	Professional		$55.36	$59.24	$76.66
United Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $104.62 / $104.62	Facility		$87.18	$104.62	$104.62
United Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $32.67 / $62.23	Professional		$30.16	$32.67	$62.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $59.24	Professional		$29.14	$29.14	$59.24