Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.91 / $200.93 / $485.98	Facility		$82.91	$200.93	$485.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $82.91 / $140.51	Professional		$49.68	$82.91	$140.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $144.74 / $364.39	Facility		$92.61	$144.74	$364.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $172.15 / $661.50	Professional		$79.38	$172.15	$661.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.90 / $142.18 / $227.74	Facility		$46.90	$142.18	$227.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $98.77 / $120.17	Professional		$46.56	$98.77	$120.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $87.11 / $110.25 / $251.97	Facility		$87.11	$110.25	$251.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $129.65 / $244.07	Professional		$88.20	$129.65	$244.07
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 $88.20 / $88.20 / $185.22	Facility		$88.20	$88.20	$185.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $154.35 / $264.60	Facility		$80.33	$154.35	$264.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $110.25 / $133.18	Professional		$79.38	$110.25	$133.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $144.74 / $242.55	Facility		$92.61	$144.74	$242.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $171.73 / $205.11	Professional		$97.55	$171.73	$205.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $98.78	Professional		$37.04	$37.04	$98.78