Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.49 / $75.73 / $130.86	Facility		$45.49	$75.73	$130.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $45.49 / $94.51	Professional		$30.62	$45.49	$94.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $277.93 / $342.77	Facility		$96.43	$277.93	$342.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $90.95 / $327.08	Professional		$51.78	$90.95	$327.08
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 $37.04 / $66.94 / $122.63	Professional		$37.04	$66.94	$122.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $79.84 / $164.40	Facility		$39.04	$79.84	$164.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $70.40 / $100.81	Professional		$37.20	$70.40	$100.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $54.50 / $92.81	Professional		$9.15	$54.50	$92.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.49 / $68.59 / $75.70	Facility		$49.49	$68.59	$75.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $51.19 / $51.64	Facility		$51.19	$51.19	$51.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $86.34 / $105.91	Professional		$56.82	$86.34	$105.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $251.08 / $489.71	Facility		$156.94	$251.08	$489.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $77.40 / $101.92	Professional		$52.21	$77.40	$101.92
United Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $42.73 / $107.34	Professional		$36.45	$42.73	$107.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $42.99 / $42.99	Professional		$42.99	$42.99	$42.99