Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.33 / $175.33 / $175.33	Facility		$175.33	$175.33	$175.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $175.33 / $195.73	Professional		$53.10	$175.33	$195.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $257.51 / $492.60	Facility		$164.79	$257.51	$492.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $215.75 / $1,006.55	Professional		$63.03	$215.75	$1,006.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.23 / $297.08 / $374.65	Facility		$127.23	$297.08	$374.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $54.16 / $54.16	Professional		$54.16	$54.16	$54.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $257.33 / $547.72	Facility		$82.61	$257.33	$547.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.05 / $121.05 / $121.05	Professional		$121.05	$121.05	$121.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.30 / $67.78 / $69.01	Facility		$45.30	$67.78	$69.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $47.07 / $211.55	Facility		$47.07	$47.07	$211.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $114.53 / $370.47	Professional		$61.48	$114.53	$370.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $257.51 / $492.60	Facility		$196.70	$257.51	$492.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $91.21 / $311.72	Professional		$63.19	$91.21	$311.72
United Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $168.54 / $294.95	Professional		$72.62	$168.54	$294.95