Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $61.17 / $463.50	Facility		$35.65	$61.17	$463.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $33.25 / $72.06	Professional		$24.89	$33.25	$72.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $277.93 / $342.77	Facility		$164.79	$277.93	$342.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $71.59 / $254.10	Professional		$41.12	$71.59	$254.10
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 $27.90 / $50.45 / $94.58	Professional		$27.90	$50.45	$94.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $61.23 / $164.40	Facility		$30.39	$61.23	$164.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $54.76 / $79.59	Professional		$25.65	$54.76	$79.59
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 $40.18 / $54.05 / $58.96	Facility		$40.18	$54.05	$58.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $40.22 / $40.32	Facility		$40.22	$40.22	$40.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $68.29 / $82.48	Professional		$46.23	$68.29	$82.48
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 $41.12 / $60.28 / $80.27	Professional		$41.12	$60.28	$80.27
United Facility/Professional Facility Modifier Low / Median / High Price $250.29 / $326.58 / $513.25	Facility		$250.29	$326.58	$513.25
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $33.54 / $82.06	Professional		$27.77	$33.54	$82.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $33.46 / $33.46	Professional		$33.46	$33.46	$33.46