Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $132.25 / $533.54	Facility		$64.79	$132.25	$533.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $61.12 / $119.19	Professional		$41.14	$61.12	$119.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $111.52 / $267.44 / $342.77	Facility		$111.52	$267.44	$342.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $128.12 / $478.58	Professional		$61.77	$128.12	$478.58
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 $46.89 / $90.65 / $175.07	Professional		$46.89	$90.65	$175.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.74 / $91.26 / $176.25	Facility		$47.74	$91.26	$176.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $92.13 / $142.50	Professional		$47.24	$92.13	$142.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $54.63 / $92.81	Professional		$9.16	$54.63	$92.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $100.50 / $110.55	Facility		$71.40	$100.50	$110.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.75 / $74.75 / $75.41	Facility		$74.75	$74.75	$75.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $125.78 / $154.65	Professional		$81.62	$125.78	$154.65
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 $76.23 / $113.03 / $148.82	Professional		$76.23	$113.03	$148.82
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $59.54 / $149.53	Professional		$45.00	$59.54	$149.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $61.26 / $61.26	Professional		$61.26	$61.26	$61.26