Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.12 / $150.12 / $150.12	Facility		$150.12	$150.12	$150.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $150.12 / $239.09	Professional		$86.99	$150.12	$239.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $242.18 / $349.54 / $602.74	Facility		$242.18	$349.54	$602.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $228.53 / $793.56	Professional		$127.05	$228.53	$793.56
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 $98.77 / $172.87 / $287.19	Professional		$98.77	$172.87	$287.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $148.65 / $290.81	Facility		$91.26	$148.65	$290.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $149.13 / $251.56	Professional		$86.80	$149.13	$251.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $56.55 / $80.86	Professional		$26.47	$56.55	$80.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $50.96 / $55.15	Facility		$43.32	$50.96	$55.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.58 / $124.58 / $126.59	Facility		$124.58	$124.58	$126.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.96 / $215.85 / $261.67	Professional		$141.96	$215.85	$261.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $225.02 / $311.38 / $595.98	Facility		$225.02	$311.38	$595.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $189.75 / $258.97	Professional		$127.05	$189.75	$258.97
United Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $185.39 / $448.38	Professional		$119.40	$185.39	$448.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Professional		$57.76	$57.76	$57.76