Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.98 / $201.98 / $201.98	Facility		$201.98	$201.98	$201.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $190.27 / $222.76	Professional		$51.54	$190.27	$222.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.85 / $296.60 / $463.05	Facility		$164.85	$296.60	$463.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $307.91 / $1,157.43	Professional		$59.50	$307.91	$1,157.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.44 / $373.15 / $498.80	Facility		$234.44	$373.15	$498.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.58 / $52.58	Professional		$52.58	$52.58	$52.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $111.19 / $290.81 / $568.04	Facility		$111.19	$290.81	$568.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.57 / $117.57 / $117.57	Professional		$117.57	$117.57	$117.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $65.79 / $67.00	Facility		$44.00	$65.79	$67.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $243.26	Facility		$45.70	$45.70	$243.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $277.20 / $451.83	Professional		$59.69	$277.20	$451.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $227.34 / $311.56 / $595.98	Facility		$227.34	$311.56	$595.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $88.55 / $359.12	Professional		$57.00	$88.55	$359.12
United Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $22.65 / $22.65	Facility		$22.65	$22.65	$22.65
United Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $194.16 / $434.89	Professional		$70.52	$194.16	$434.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $170.50 / $170.50	Professional		$170.50	$170.50	$170.50