Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $115.58 / $169.12	Facility		$81.06	$115.58	$169.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $81.22 / $165.33	Professional		$45.11	$81.22	$165.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $418.55 / $854.16	Facility		$75.34	$418.55	$854.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $126.03 / $486.56	Professional		$74.23	$126.03	$486.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.28 / $84.28 / $84.28	Facility		$84.28	$84.28	$84.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $97.60 / $184.25	Professional		$55.17	$97.60	$184.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.33 / $91.35 / $156.74	Facility		$52.33	$91.35	$156.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $91.35 / $150.91	Professional		$52.33	$91.35	$150.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $101.53 / $178.26	Professional		$18.05	$101.53	$178.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $117.92 / $132.66	Facility		$73.97	$117.92	$132.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $84.71 / $90.49	Facility		$25.09	$84.71	$90.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $109.69 / $159.19	Professional		$73.79	$109.69	$159.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.56 / $446.53 / $854.16	Facility		$289.56	$446.53	$854.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $102.85 / $152.13	Professional		$65.63	$102.85	$152.13
United Facility/Professional Facility Modifier Low / Median / High Price $427.08 / $585.29 / $1,086.00	Facility		$427.08	$585.29	$1,086.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $105.04 / $181.44	Professional		$76.36	$105.04	$181.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $54.66 / $72.30	Professional		$47.04	$54.66	$72.30