Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $140.15 / $338.98	Facility		$57.83	$140.15	$338.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $57.83 / $91.05	Professional		$49.22	$57.83	$91.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $100.95 / $254.16	Facility		$64.59	$100.95	$254.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $126.18 / $461.40	Professional		$55.37	$126.18	$461.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.96 / $118.00 / $159.96	Facility		$61.96	$118.00	$159.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $69.03 / $87.23	Professional		$32.54	$69.03	$87.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $76.90 / $175.75	Facility		$60.76	$76.90	$175.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $90.43 / $170.55	Professional		$61.52	$90.43	$170.55
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 $61.52 / $61.52 / $129.19	Facility		$61.52	$61.52	$129.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $107.95 / $184.56	Facility		$61.52	$107.95	$184.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $76.90 / $92.90	Professional		$55.37	$76.90	$92.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $100.95 / $169.18	Facility		$64.59	$100.95	$169.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $119.87 / $143.19	Professional		$68.04	$119.87	$143.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $25.84 / $68.90	Professional		$25.84	$25.84	$68.90