Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $92.19 / $256.77	Facility		$43.80	$92.19	$256.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $43.80 / $90.87	Professional		$40.78	$43.80	$90.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.93 / $74.56 / $192.52	Facility		$48.93	$74.56	$192.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $86.94 / $349.50	Professional		$41.94	$86.94	$349.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $103.32 / $153.69	Facility		$48.46	$103.32	$153.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $52.14 / $63.43	Professional		$26.75	$52.14	$63.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $67.05 / $150.63	Facility		$46.60	$67.05	$150.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $75.87 / $139.02	Professional		$46.60	$75.87	$139.02
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 $46.60 / $46.60 / $97.86	Facility		$46.60	$46.60	$97.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $81.55 / $139.80	Facility		$46.60	$81.55	$139.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $58.25 / $70.37	Professional		$41.94	$58.25	$70.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.93 / $76.47 / $128.15	Facility		$48.93	$76.47	$128.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $90.92 / $108.36	Professional		$51.54	$90.92	$108.36
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.49 / $52.19	Professional		$19.57	$24.49	$52.19