Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.05 / $230.36 / $557.16	Facility		$95.05	$230.36	$557.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $149.66 / $300.00	Professional		$73.64	$149.66	$300.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $106.18 / $165.94 / $655.68	Facility		$106.18	$165.94	$655.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $197.31 / $758.40	Professional		$91.01	$197.31	$758.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.17 / $207.05 / $295.79	Facility		$105.17	$207.05	$295.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $113.45 / $138.04	Professional		$53.49	$113.45	$138.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $126.40 / $288.73	Facility		$99.82	$126.40	$288.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $148.65 / $279.70	Professional		$101.12	$148.65	$279.70
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 $101.12 / $101.12 / $212.35	Facility		$101.12	$101.12	$212.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $176.96 / $304.99	Facility		$101.12	$176.96	$304.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $126.40 / $152.69	Professional		$91.01	$126.40	$152.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.18 / $165.94 / $278.08	Facility		$106.18	$165.94	$278.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $196.65 / $235.30	Professional		$111.84	$196.65	$235.30
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $42.47 / $113.25	Professional		$42.47	$42.47	$113.25