Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $117.01 / $188.27	Facility		$71.73	$117.01	$188.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $71.73 / $143.46	Professional		$40.28	$71.73	$143.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $126.90 / $1,215.26 / $2,065.41	Facility		$126.90	$1,215.26	$2,065.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $148.37 / $535.35	Professional		$83.21	$148.37	$535.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.81 / $1,803.56 / $2,274.48	Facility		$475.81	$1,803.56	$2,274.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $97.80 / $201.31	Professional		$53.16	$97.80	$201.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $110.23 / $493.48	Facility		$53.27	$110.23	$493.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $99.82 / $162.06	Professional		$49.12	$99.82	$162.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.20 / $54.50 / $92.81	Professional		$9.20	$54.50	$92.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $105.86 / $124.62	Facility		$70.73	$105.86	$124.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $48.15 / $48.15	Professional		$48.15	$48.15	$48.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.35 / $83.35 / $85.00	Facility		$83.35	$83.35	$85.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.57 / $141.79 / $174.34	Professional		$91.57	$141.79	$174.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $936.81 / $1,524.33 / $2,973.07	Facility		$936.81	$1,524.33	$2,973.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $126.17 / $167.07	Professional		$85.01	$126.17	$167.07
United Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $65.56 / $175.75	Professional		$51.69	$65.56	$175.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $70.43 / $70.43	Professional		$70.43	$70.43	$70.43