Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.42 / $104.09 / $360.02	Facility		$61.42	$104.09	$360.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $61.42 / $96.70	Professional		$41.58	$61.42	$96.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $68.61 / $104.54 / $228.69	Facility		$68.61	$104.54	$228.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $127.79 / $490.05	Professional		$58.81	$127.79	$490.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.88 / $105.33 / $168.71	Facility		$37.88	$105.33	$168.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $73.43 / $89.34	Professional		$33.11	$73.43	$89.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $82.80 / $202.48	Facility		$64.79	$82.80	$202.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $96.05 / $181.16	Professional		$65.34	$96.05	$181.16
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 $65.34 / $65.34 / $137.21	Facility		$65.34	$65.34	$137.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $110.48 / $196.02	Facility		$62.98	$110.48	$196.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $81.68 / $98.66	Professional		$58.81	$81.68	$98.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.61 / $107.22 / $179.69	Facility		$68.61	$107.22	$179.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $127.28 / $151.69	Professional		$72.27	$127.28	$151.69
United Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $32.93 / $32.93	Facility		$32.93	$32.93	$32.93
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $27.44 / $73.18	Professional		$25.01	$27.44	$73.18