Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $133.25 / $322.27	Facility		$54.98	$133.25	$322.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $54.98 / $94.90	Professional		$29.25	$54.98	$94.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $102.36 / $241.65	Facility		$61.41	$102.36	$241.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $114.54 / $438.68	Professional		$52.64	$114.54	$438.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $98.32 / $151.03	Facility		$55.93	$98.32	$151.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $65.72 / $79.95	Professional		$30.98	$65.72	$79.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $73.11 / $166.78	Facility		$57.66	$73.11	$166.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $85.98 / $162.21	Professional		$58.49	$85.98	$162.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $57.26 / $75.00	Professional		$52.06	$57.26	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $58.49 / $122.83	Facility		$58.49	$58.49	$122.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $105.28 / $175.47	Facility		$58.49	$105.28	$175.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $73.11 / $88.32	Professional		$52.64	$73.11	$88.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $95.98 / $160.85	Facility		$61.41	$95.98	$160.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $113.81 / $136.22	Professional		$64.69	$113.81	$136.22
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $65.51	Professional		$24.57	$24.57	$65.51