Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $167.14 / $404.27	Facility		$68.97	$167.14	$404.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $68.97 / $116.89	Professional		$46.22	$68.97	$116.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $117.39 / $303.12	Facility		$77.04	$117.39	$303.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $150.36 / $550.28	Professional		$67.90	$150.36	$550.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.65 / $118.27 / $196.16	Facility		$41.65	$118.27	$196.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $77.55 / $100.06	Professional		$36.15	$77.55	$100.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $101.76 / $227.05	Facility		$72.12	$101.76	$227.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $108.45 / $203.14	Professional		$73.37	$108.45	$203.14
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 $73.37 / $73.37 / $110.06	Facility		$73.37	$73.37	$110.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $128.40 / $220.11	Facility		$73.37	$128.40	$220.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $91.71 / $110.79	Professional		$66.03	$91.71	$110.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $117.39 / $201.77	Facility		$77.04	$117.39	$201.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $142.78 / $170.28	Professional		$81.15	$142.78	$170.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $31.68 / $82.17	Professional		$30.82	$31.68	$82.17