Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.12 / $106.81 / $352.42	Facility		$60.12	$106.81	$352.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $66.05 / $76.93	Professional		$45.00	$66.05	$76.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $102.34 / $264.24	Facility		$67.16	$102.34	$264.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $125.14 / $479.70	Professional		$54.37	$125.14	$479.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $130.94 / $174.63	Facility		$23.08	$130.94	$174.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $71.59 / $87.11	Professional		$33.75	$71.59	$87.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $63.24 / $79.95 / $182.92	Facility		$63.24	$79.95	$182.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $94.02 / $176.61	Professional		$63.96	$94.02	$176.61
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 $63.96 / $63.96 / $134.32	Facility		$63.96	$63.96	$134.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $111.93 / $191.88	Facility		$57.56	$111.93	$191.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $79.95 / $96.58	Professional		$57.56	$79.95	$96.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $104.96 / $175.89	Facility		$67.16	$104.96	$175.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $124.59 / $148.61	Professional		$70.73	$124.59	$148.61
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $71.64	Professional		$26.86	$26.86	$71.64