Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $117.21 / $283.49	Facility		$48.36	$117.21	$283.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $93.51	Professional		$32.50	$39.31	$93.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $90.04 / $412.15	Facility		$54.02	$90.04	$412.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $100.64 / $385.88	Professional		$51.45	$100.64	$385.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $118.08 / $174.47	Facility		$75.23	$118.08	$174.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $57.64 / $72.94	Professional		$27.18	$57.64	$72.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $64.31 / $147.05	Facility		$50.84	$64.31	$147.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $75.63 / $142.50	Professional		$51.45	$75.63	$142.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $50.36 / $75.00	Professional		$45.79	$50.36	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $108.05	Facility		$51.45	$51.45	$108.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $90.04 / $155.94	Facility		$51.45	$90.04	$155.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $64.31 / $77.69	Professional		$46.31	$64.31	$77.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $84.43 / $141.49	Facility		$54.02	$84.43	$141.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $100.35 / $119.97	Professional		$56.90	$100.35	$119.97
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $21.61 / $57.62	Professional		$21.61	$21.61	$57.62