Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $34.88 / $34.88	Facility		$34.88	$34.88	$34.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $39.50 / $94.43	Professional		$34.88	$39.50	$94.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.59 / $124.11 / $314.30	Facility		$83.59	$124.11	$314.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $53.54 / $724.41	Professional		$50.75	$53.54	$724.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $96.81 / $199.42	Facility		$58.50	$96.81	$199.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $96.81 / $199.42	Professional		$59.57	$96.81	$199.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $59.71 / $61.14	Professional		$30.00	$59.71	$61.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $61.14 / $67.25	Facility		$59.71	$61.14	$67.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $107.08 / $158.83	Facility		$53.54	$107.08	$158.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $59.71 / $68.67	Professional		$50.75	$59.71	$68.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $51.97 / $61.14	Professional		$49.37	$51.97	$61.14
United Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $30.50 / $49.47	Professional		$25.93	$30.50	$49.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $51.97 / $61.14	Professional		$51.97	$51.97	$61.14