Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $46.76 / $48.82	Facility		$20.60	$46.76	$48.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $20.60 / $49.00	Professional		$14.26	$20.60	$49.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $77.55 / $168.95	Facility		$49.35	$77.55	$168.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $31.61 / $302.14	Professional		$29.96	$31.61	$302.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $52.83 / $83.53	Facility		$29.70	$52.83	$83.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $53.57 / $83.53	Professional		$33.39	$53.57	$83.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $35.25 / $60.00	Professional		$30.00	$35.25	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $36.10 / $39.71	Facility		$35.25	$36.10	$39.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $63.22 / $93.77	Facility		$31.61	$63.22	$93.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $35.25 / $40.54	Professional		$29.96	$35.25	$40.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $30.69 / $36.10	Professional		$29.16	$30.69	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $17.98 / $29.21	Professional		$14.67	$17.98	$29.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $30.69 / $36.10	Professional		$30.69	$30.69	$36.10