Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $106.16 / $256.77	Facility		$43.80	$106.16	$256.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $43.80 / $83.30	Professional		$29.36	$43.80	$83.30
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 $46.60 / $96.88 / $349.50	Professional		$46.60	$96.88	$349.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $99.06 / $137.40	Facility		$48.46	$99.06	$137.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $53.73 / $67.33	Professional		$26.75	$53.73	$67.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $63.23 / $144.02	Facility		$46.60	$63.23	$144.02
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 / $19.57 / $52.19	Professional		$19.57	$19.57	$52.19