Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $138.61 / $457.33	Facility		$78.02	$138.61	$457.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $78.02 / $130.44	Professional		$63.03	$78.02	$130.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.15 / $136.19 / $342.91	Facility		$87.15	$136.19	$342.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $162.21 / $622.50	Professional		$74.70	$162.21	$622.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $176.43 / $217.60	Facility		$86.32	$176.43	$217.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $92.89 / $113.02	Professional		$42.16	$92.89	$113.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $112.32 / $256.70	Facility		$79.59	$112.32	$256.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $122.01 / $229.67	Professional		$82.15	$122.01	$229.67
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 $83.00 / $83.00 / $174.30	Facility		$83.00	$83.00	$174.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $145.25 / $249.00	Facility		$83.00	$145.25	$249.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $103.75 / $125.33	Professional		$74.70	$103.75	$125.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.15 / $136.19 / $228.25	Facility		$87.15	$136.19	$228.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $161.63 / $192.73	Professional		$91.80	$161.63	$192.73
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.88 / $99.60	Professional		$34.86	$34.88	$99.60