Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $146.36 / $308.32	Facility		$44.18	$146.36	$308.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $44.18 / $45.59	Professional		$29.61	$44.18	$45.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $75.20 / $164.50	Facility		$49.35	$75.20	$164.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $97.57 / $352.50	Professional		$47.00	$97.57	$352.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $99.91 / $121.36	Facility		$48.88	$99.91	$121.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $47.00 / $117.50	Facility		$42.30	$47.00	$117.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $47.00 / $117.50	Professional		$42.30	$47.00	$117.50
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 $47.00 / $47.00 / $65.80	Facility		$47.00	$47.00	$65.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $82.25 / $141.00	Facility		$47.00	$82.25	$141.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $58.75 / $70.97	Professional		$42.30	$58.75	$70.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $75.20 / $129.25	Facility		$49.35	$75.20	$129.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $91.59 / $109.13	Professional		$51.98	$91.59	$109.13
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $52.64	Professional		$19.73	$19.73	$52.64