Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $107.07 / $258.97	Facility		$44.18	$107.07	$258.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $91.90	Professional		$32.50	$39.31	$91.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $77.13 / $225.86	Facility		$49.35	$77.13	$225.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $93.90 / $352.50	Professional		$42.30	$93.90	$352.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $103.35 / $132.15	Facility		$48.88	$103.35	$132.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $52.87 / $66.31	Professional		$24.93	$52.87	$66.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $58.75 / $134.50	Facility		$46.50	$58.75	$134.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $69.09 / $129.61	Professional		$47.00	$69.09	$129.61
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 $47.00 / $47.00 / $98.70	Facility		$47.00	$47.00	$98.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $82.25 / $164.50	Facility		$47.00	$82.25	$164.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $58.75 / $70.97	Professional		$42.30	$58.75	$70.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $77.13 / $129.25	Facility		$49.35	$77.13	$129.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $91.59 / $109.13	Professional		$51.98	$91.59	$109.13
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $51.70	Professional		$19.73	$19.73	$51.70