Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.32 / $109.69 / $114.52	Facility		$48.32	$109.69	$114.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $48.32 / $114.52	Professional		$38.53	$48.32	$114.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.11 / $141.59 / $354.84	Facility		$65.11	$141.59	$354.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $75.25 / $544.58	Professional		$48.80	$75.25	$544.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $43.76	Facility		$43.76	$43.76	$43.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $43.76	Professional		$37.20	$37.20	$43.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.12 / $77.05 / $203.78	Facility		$45.12	$77.05	$203.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $78.41 / $143.97	Professional		$47.74	$78.41	$143.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $74.34 / $74.34	Professional		$60.00	$74.34	$74.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.92 / $74.34 / $77.06	Facility		$66.92	$74.34	$77.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.11 / $83.50 / $145.22	Facility		$65.11	$83.50	$145.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $61.72 / $72.61	Professional		$61.72	$61.72	$72.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.77 / $72.61 / $72.61	Facility		$70.77	$72.61	$72.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $81.79 / $81.79	Professional		$54.28	$81.79	$81.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $50.94 / $64.79	Professional		$33.96	$50.94	$64.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $63.20 / $63.20	Professional		$42.38	$63.20	$63.20