Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.66 / $209.02 / $896.45	Facility		$126.66	$209.02	$896.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $119.69 / $278.25	Professional		$83.89	$119.69	$278.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $257.51 / $514.16	Facility		$164.79	$257.51	$514.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $255.13 / $859.65	Professional		$139.99	$255.13	$859.65
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 $113.19 / $187.07 / $323.66	Professional		$113.19	$187.07	$323.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.36 / $209.90 / $301.29	Facility		$91.36	$209.90	$301.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $211.34 / $278.04	Professional		$104.16	$211.34	$278.04
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 $147.00 / $195.87 / $208.94	Facility		$147.00	$195.87	$208.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $136.63 / $137.26	Facility		$42.69	$136.63	$137.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $231.31 / $280.25	Professional		$156.71	$231.31	$280.25
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 $139.99 / $201.28 / $268.56	Professional		$139.99	$201.28	$268.56
United Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $114.46 / $288.81	Professional		$103.02	$114.46	$288.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.18 / $113.18 / $113.18	Professional		$113.18	$113.18	$113.18