Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.87 / $180.32 / $466.05	Facility		$69.87	$180.32	$466.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $76.45 / $85.48	Professional		$69.30	$76.45	$85.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78.05 / $130.08 / $353.07	Facility		$78.05	$130.08	$353.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $145.00 / $557.48	Professional		$68.81	$145.00	$557.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $136.82 / $217.40	Facility		$62.90	$136.82	$217.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $83.35 / $101.41	Professional		$45.31	$83.35	$101.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $109.27 / $255.00	Facility		$74.33	$109.27	$255.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $128.31 / $230.45	Professional		$74.33	$128.31	$230.45
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 $74.33 / $74.33 / $156.09	Facility		$74.33	$74.33	$156.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $130.08 / $222.99	Facility		$74.33	$130.08	$222.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $92.91 / $112.24	Professional		$66.90	$92.91	$112.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $78.05 / $121.98 / $204.41	Facility		$78.05	$121.98	$204.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $144.79 / $172.60	Professional		$84.82	$144.79	$172.60
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $83.25	Professional		$31.22	$31.22	$83.25