Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $107.52 / $111.82	Facility		$56.10	$107.52	$111.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $56.10 / $58.60	Professional		$51.00	$56.10	$58.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $39.26 / $231.33	Facility		$13.92	$39.26	$231.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $231.33	Professional		$51.00	$51.00	$231.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $48.12 / $99.58	Facility		$48.12	$48.12	$99.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $62.55	Professional		$51.00	$51.00	$62.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $51.00 / $94.21	Facility		$33.17	$51.00	$94.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $56.76 / $95.34	Professional		$37.40	$56.76	$95.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $75.00	Professional		$30.00	$60.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $51.00 / $96.39	Facility		$49.53	$51.00	$96.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $18.27 / $63.66	Facility		$13.48	$18.27	$63.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $61.79 / $96.29	Professional		$56.84	$61.79	$96.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $51.00 / $51.00	Facility		$22.79	$51.00	$51.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $51.00 / $51.00	Professional		$48.45	$51.00	$51.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $51.00 / $59.75	Professional		$49.79	$51.00	$59.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $52.40	Professional		$51.00	$51.00	$52.40