Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $108.42 / $113.19	Facility		$47.76	$108.42	$113.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $47.76 / $113.19	Professional		$25.91	$47.76	$113.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.46 / $167.61 / $391.81	Facility		$114.46	$167.61	$391.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $73.31 / $613.20	Professional		$69.50	$73.31	$613.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $116.72 / $171.50	Facility		$65.09	$116.72	$171.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $119.14 / $176.64	Professional		$67.20	$119.14	$176.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $73.58 / $83.72	Professional		$60.00	$73.58	$83.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $83.72 / $92.09	Facility		$81.76	$83.72	$92.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $146.62 / $217.48	Facility		$73.31	$146.62	$217.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $81.76 / $94.02	Professional		$69.50	$81.76	$94.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $71.16 / $83.72	Professional		$67.59	$71.16	$83.72
United Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $42.70 / $67.73	Professional		$35.50	$42.70	$67.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $71.16 / $83.72	Professional		$71.16	$71.16	$83.72