Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.39 / $356.29 / $564.05	Facility		$111.39	$356.29	$564.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $55.30 / $55.30	Professional		$41.87	$55.30	$55.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $82.95 / $126.40 / $326.38	Facility		$82.95	$126.40	$326.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $163.87 / $592.50	Professional		$71.09	$163.87	$592.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.16 / $167.93 / $203.99	Facility		$82.16	$167.93	$203.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $79.00 / $197.50	Facility		$71.09	$79.00	$197.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $79.00 / $197.50	Professional		$71.09	$79.00	$197.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $86.90 / $138.25	Facility		$71.09	$86.90	$138.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $138.25 / $237.00	Facility		$79.00	$138.25	$237.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $98.75 / $119.29	Professional		$71.09	$98.75	$119.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $82.95 / $126.40 / $217.25	Facility		$82.95	$126.40	$217.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $153.55 / $183.44	Professional		$87.37	$153.55	$183.44
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $33.18 / $88.48	Professional		$33.18	$33.18	$88.48