Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $87.42 / $91.27	Facility		$38.51	$87.42	$91.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $38.51 / $91.27	Professional		$29.63	$38.51	$91.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $126.07 / $321.47	Facility		$51.88	$126.07	$321.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $57.86 / $398.48	Professional		$45.00	$57.86	$398.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $37.03	Facility		$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $37.03	Professional		$27.03	$27.03	$37.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $63.05 / $162.38	Facility		$37.31	$63.05	$162.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $63.28 / $125.78	Professional		$37.35	$63.28	$125.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.87 / $45.42 / $49.96	Professional		$40.87	$45.42	$49.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $57.86 / $59.25	Facility		$47.04	$57.86	$59.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $59.25 / $59.25	Professional		$53.33	$59.25	$59.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $66.54 / $115.72	Facility		$51.88	$66.54	$115.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $49.18 / $88.55	Professional		$49.18	$49.18	$88.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $57.86 / $57.86	Facility		$56.40	$57.86	$57.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $50.36 / $65.18	Professional		$47.07	$50.36	$65.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $44.53 / $56.40	Professional		$29.56	$44.53	$56.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $50.36 / $50.36	Professional		$36.21	$50.36	$50.36