Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $150.63 / $360.13	Facility		$61.44	$150.63	$360.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $67.48 / $78.43	Professional		$42.48	$67.48	$78.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $114.38 / $228.76	Facility		$68.63	$114.38	$228.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $127.79 / $490.20	Professional		$58.82	$127.79	$490.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $133.81 / $191.16	Facility		$46.40	$133.81	$191.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $73.59 / $89.34	Professional		$40.76	$73.59	$89.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $96.08 / $224.06	Facility		$65.36	$96.08	$224.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $115.65 / $202.48	Professional		$65.36	$115.65	$202.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $63.98 / $75.00	Professional		$58.17	$63.98	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $65.36 / $137.26	Facility		$65.36	$65.36	$137.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $114.38 / $196.08	Facility		$65.36	$114.38	$196.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $81.70 / $98.69	Professional		$58.82	$81.70	$98.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $107.84 / $179.74	Facility		$68.63	$107.84	$179.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $127.28 / $151.69	Professional		$76.20	$127.28	$151.69
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $27.45 / $73.20	Professional		$27.45	$27.45	$73.20