Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.05 / $155.40 / $271.32	Facility		$95.05	$155.40	$271.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $95.05 / $190.10	Professional		$66.09	$95.05	$190.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $350.52 / $418.95	Facility		$93.69	$350.52	$418.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $161.49 / $502.00	Professional		$98.87	$161.49	$502.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.76 / $174.06 / $339.64	Facility		$151.76	$174.06	$339.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $149.38 / $241.22	Professional		$103.16	$149.38	$241.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $162.66 / $204.88	Facility		$80.59	$162.66	$204.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $170.70 / $227.81	Professional		$80.59	$170.70	$227.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.58 / $103.83 / $180.06	Professional		$18.58	$103.83	$180.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.80 / $130.71 / $153.68	Facility		$107.80	$130.71	$153.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $93.69 / $96.94	Facility		$93.69	$93.69	$96.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $158.66 / $195.16	Professional		$104.79	$158.66	$195.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $331.88	Facility		$88.70	$88.70	$331.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $142.80 / $210.43	Professional		$98.87	$142.80	$210.43
United Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $81.18 / $189.17	Professional		$64.38	$81.18	$189.17