Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $123.35 / $172.25	Facility		$55.15	$123.35	$172.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $69.73 / $147.07	Professional		$47.91	$69.73	$147.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $530.79 / $1,080.21	Facility		$55.00	$530.79	$1,080.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $156.26 / $576.00	Professional		$85.07	$156.26	$576.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.48 / $57.48 / $95.76	Facility		$57.48	$57.48	$95.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $127.33 / $234.60	Professional		$71.06	$127.33	$234.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.73 / $104.08 / $173.99	Facility		$56.73	$104.08	$173.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $104.08 / $156.97	Professional		$60.54	$104.08	$156.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.96 / $180.72	Professional		$17.11	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.82 / $127.41 / $156.78	Facility		$83.82	$127.41	$156.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $106.00 / $106.94	Facility		$45.93	$106.00	$106.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $124.87 / $196.71	Professional		$81.03	$124.87	$196.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $366.18 / $564.38 / $1,080.21	Facility		$366.18	$564.38	$1,080.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $118.37 / $181.12	Professional		$77.01	$118.37	$181.12
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.86 / $160.72 / $239.41	Professional		$86.86	$160.72	$239.41