Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $55.21 / $57.64	Facility		$24.32	$55.21	$57.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $25.58 / $57.86	Professional		$19.93	$25.58	$57.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $85.36 / $199.56	Facility		$58.30	$85.36	$199.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $37.33 / $418.74	Professional		$35.39	$37.33	$418.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.81 / $66.01 / $116.25	Facility		$38.81	$66.01	$116.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $67.58 / $116.25	Professional		$41.75	$67.58	$116.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $38.37 / $60.00	Professional		$37.47	$38.37	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $42.64 / $46.90	Facility		$41.64	$42.64	$46.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $74.66 / $110.76	Facility		$37.33	$74.66	$110.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $41.64 / $47.89	Professional		$35.39	$41.64	$47.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $36.24 / $42.64	Professional		$34.43	$36.24	$42.64
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $21.27 / $34.49	Professional		$17.32	$21.27	$34.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $36.24 / $42.64	Professional		$36.24	$36.24	$42.64