Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.26 / $131.41 / $282.77	Facility		$86.26	$131.41	$282.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $86.26 / $172.52	Professional		$57.18	$86.26	$172.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $142.05 / $646.46 / $994.15	Facility		$142.05	$646.46	$994.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $164.16 / $678.50	Professional		$94.71	$164.16	$678.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.81 / $831.68 / $1,012.37	Facility		$475.81	$831.68	$1,012.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $142.43 / $224.83	Professional		$79.98	$142.43	$224.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $180.93 / $635.38	Facility		$92.09	$180.93	$635.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $159.93 / $240.81	Professional		$75.40	$159.93	$240.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $72.92 / $159.77	Professional		$15.00	$72.92	$159.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.16 / $137.13 / $156.41	Facility		$108.16	$137.13	$156.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $92.87 / $95.06	Facility		$92.87	$92.87	$95.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.85 / $163.05 / $198.02	Professional		$106.85	$163.05	$198.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $461.12 / $679.00 / $1,320.55	Facility		$461.12	$679.00	$1,320.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $143.07 / $196.13	Professional		$94.71	$143.07	$196.13
United Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $113.86 / $204.59	Professional		$82.18	$113.86	$204.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $79.15 / $79.15	Professional		$79.15	$79.15	$79.15