Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $185.35 / $287.39	Facility		$104.44	$185.35	$287.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $104.44 / $232.29	Professional		$65.92	$104.44	$232.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $267.44 / $381.47	Facility		$164.79	$267.44	$381.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $218.69 / $736.20	Professional		$117.35	$218.69	$736.20
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 $83.28 / $151.02 / $276.79	Professional		$83.28	$151.02	$276.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $149.80 / $236.39	Facility		$78.73	$149.80	$236.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $149.97 / $226.64	Professional		$75.64	$149.97	$226.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $100.68 / $227.98	Professional		$21.11	$100.68	$227.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $154.36 / $172.19	Facility		$111.50	$154.36	$172.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $115.06 / $117.45	Facility		$42.33	$115.06	$117.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $195.91 / $240.89	Professional		$131.19	$195.91	$240.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $251.08 / $489.71	Facility		$164.79	$251.08	$489.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $168.95 / $227.57	Professional		$117.35	$168.95	$227.57
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $92.81 / $232.24	Professional		$77.52	$92.81	$232.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $95.83 / $95.83	Professional		$95.83	$95.83	$95.83