Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $89.55 / $216.60	Facility		$36.95	$89.55	$216.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $36.95 / $91.90	Professional		$32.50	$36.95	$91.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $68.79 / $162.41	Facility		$41.28	$68.79	$162.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $81.66 / $294.83	Professional		$35.38	$81.66	$294.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $80.48 / $102.20	Facility		$40.88	$80.48	$102.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $44.06 / $55.60	Professional		$20.77	$44.06	$55.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $49.14 / $112.08	Facility		$38.75	$49.14	$112.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $57.79 / $109.15	Professional		$39.31	$57.79	$109.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $38.48 / $75.00	Professional		$34.99	$38.48	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $82.55	Facility		$39.31	$39.31	$82.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $70.76 / $117.93	Facility		$39.31	$70.76	$117.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $49.14 / $59.36	Professional		$35.38	$49.14	$59.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $64.51 / $108.10	Facility		$41.28	$64.51	$108.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $76.76 / $91.33	Professional		$43.48	$76.76	$91.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $16.51 / $44.03	Professional		$16.51	$16.51	$44.03