Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.42 / $104.42 / $104.42	Facility		$104.42	$104.42	$104.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $97.16 / $113.69	Professional		$48.61	$97.16	$113.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $101.23 / $260.39 / $260.39	Facility		$101.23	$260.39	$260.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $142.51 / $442.64	Professional		$82.65	$142.51	$442.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $27.62 / $74.30	Professional		$21.97	$27.62	$74.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $162.38 / $162.38	Professional		$162.38	$162.38	$162.38
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 $69.08 / $105.19 / $105.19	Facility		$69.08	$105.19	$105.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.56 / $129.56 / $129.56	Facility		$129.56	$129.56	$129.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $129.35 / $211.64	Professional		$82.09	$129.35	$211.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $78.39	Facility		$65.33	$65.33	$78.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $111.88 / $190.24	Professional		$85.57	$111.88	$190.24
United Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $142.50 / $250.62	Professional		$92.94	$142.50	$250.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.16 / $236.16 / $236.16	Professional		$236.16	$236.16	$236.16