Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $77.11 / $454.52	Facility		$37.90	$77.11	$454.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $34.03 / $76.02	Professional		$26.37	$34.03	$76.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $125.72 / $341.91 / $434.49	Facility		$125.72	$341.91	$434.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $76.06 / $274.95	Professional		$43.89	$76.06	$274.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.44 / $373.15 / $498.80	Facility		$234.44	$373.15	$498.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $52.59 / $102.71	Professional		$28.41	$52.59	$102.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $65.77 / $164.40	Facility		$31.00	$65.77	$164.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $58.92 / $84.13	Professional		$30.01	$58.92	$84.13
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 $37.79 / $56.95 / $63.65	Facility		$37.79	$56.95	$63.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Professional		$39.15	$39.15	$39.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $43.04 / $43.42	Facility		$43.04	$43.04	$43.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $72.42 / $89.04	Professional		$46.73	$72.42	$89.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $202.73 / $304.02 / $592.49	Facility		$202.73	$304.02	$592.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $65.08 / $85.68	Professional		$44.38	$65.08	$85.68
United Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $35.40 / $86.60	Professional		$28.59	$35.40	$86.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $35.94 / $35.94	Professional		$35.94	$35.94	$35.94