Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $25.04 / $25.04	Facility		$25.04	$25.04	$25.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $26.34 / $51.09	Professional		$24.65	$26.34	$51.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $87.88 / $205.45	Facility		$60.02	$87.88	$205.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $37.32 / $394.00	Professional		$36.44	$37.32	$394.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $17.91	Professional		$17.91	$17.91	$17.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $65.05 / $108.85	Facility		$36.29	$65.05	$108.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $65.05 / $109.76	Professional		$42.56	$65.05	$109.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $42.87 / $60.00	Professional		$30.00	$42.87	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $43.90 / $48.29	Facility		$42.87	$43.90	$48.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.44 / $76.88 / $114.03	Facility		$38.44	$76.88	$114.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $42.87 / $49.30	Professional		$36.44	$42.87	$49.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $37.32 / $43.90	Professional		$35.45	$37.32	$43.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.90 / $35.51	Professional		$18.62	$21.90	$35.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $37.32 / $43.90	Professional		$37.32	$37.32	$43.90