Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $90.87 / $314.29	Facility		$53.62	$90.87	$314.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $70.00 / $98.89	Professional		$28.52	$70.00	$98.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $91.26 / $254.55	Facility		$59.89	$91.26	$254.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $116.41 / $427.80	Professional		$51.34	$116.41	$427.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.25 / $116.80 / $166.86	Facility		$41.25	$116.80	$166.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $63.89 / $80.59	Professional		$30.12	$63.89	$80.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.11 / $71.30 / $162.30	Facility		$56.11	$71.30	$162.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $83.85 / $158.41	Professional		$57.04	$83.85	$158.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $60.53 / $75.00	Professional		$55.03	$60.53	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $119.78	Facility		$57.04	$57.04	$119.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $99.82 / $171.12	Facility		$57.04	$99.82	$171.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $71.30 / $86.13	Professional		$51.34	$71.30	$86.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $93.60 / $156.86	Facility		$59.89	$93.60	$156.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $111.12 / $132.35	Professional		$63.09	$111.12	$132.35
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $63.88	Professional		$23.96	$23.96	$63.88