Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.06 / $211.58 / $522.02	Facility		$89.06	$211.58	$522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $151.58 / $196.38	Professional		$87.46	$151.58	$196.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $99.48 / $165.80 / $331.59	Facility		$99.48	$165.80	$331.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $194.01 / $710.55	Professional		$89.06	$194.01	$710.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.56 / $166.52 / $277.11	Facility		$85.56	$166.52	$277.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $106.11 / $129.10	Professional		$57.32	$106.11	$129.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $139.27 / $323.70	Facility		$94.74	$139.27	$323.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $162.44 / $293.12	Professional		$94.74	$162.44	$293.12
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 $94.74 / $94.74 / $198.95	Facility		$94.74	$94.74	$198.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $165.80 / $284.22	Facility		$94.74	$165.80	$284.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $118.43 / $143.06	Professional		$85.27	$118.43	$143.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.48 / $155.47 / $260.54	Facility		$99.48	$155.47	$260.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $184.53 / $220.59	Professional		$107.05	$184.53	$220.59
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $52.53 / $106.11	Professional		$39.79	$52.53	$106.11