Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $77.11 / $292.00	Facility		$37.90	$77.11	$292.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $37.90 / $75.80	Professional		$26.87	$37.90	$75.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $298.16 / $342.77	Facility		$164.79	$298.16	$342.77
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 $127.23 / $308.42 / $374.65	Facility		$127.23	$308.42	$374.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $52.59 / $102.71	Professional		$28.42	$52.59	$102.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $63.71 / $164.40	Facility		$30.01	$63.71	$164.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $56.58 / $84.13	Professional		$26.90	$56.58	$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 $38.22 / $56.95 / $63.65	Facility		$38.22	$56.95	$63.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $32.28 / $32.28	Professional		$32.28	$32.28	$32.28
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 $46.36 / $72.42 / $89.04	Professional		$46.36	$72.42	$89.04
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 $44.38 / $65.08 / $85.68	Professional		$44.38	$65.08	$85.68
United Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $35.47 / $96.37	Professional		$28.39	$35.47	$96.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $35.94 / $35.94	Professional		$35.94	$35.94	$35.94