Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.39 / $221.48 / $535.67	Facility		$91.39	$221.48	$535.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $91.39 / $143.88	Professional		$83.30	$91.39	$143.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $155.55 / $401.65	Facility		$102.08	$155.55	$401.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $190.02 / $729.15	Professional		$87.50	$190.02	$729.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.94 / $156.71 / $252.76	Facility		$64.94	$156.71	$252.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $109.05 / $132.68	Professional		$51.41	$109.05	$132.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $95.79 / $121.52 / $277.08	Facility		$95.79	$121.52	$277.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $142.91 / $269.08	Professional		$97.22	$142.91	$269.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $97.22 / $204.16	Facility		$97.22	$97.22	$204.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $170.14 / $291.66	Facility		$97.22	$170.14	$291.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $121.53 / $146.80	Professional		$87.50	$121.53	$146.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $159.54 / $267.36	Facility		$102.08	$159.54	$267.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $189.24 / $226.01	Professional		$107.53	$189.24	$226.01
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $40.83 / $108.89	Professional		$40.83	$40.83	$108.89