Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $101.82 / $152.72	Facility		$101.82	$101.82	$152.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $67.38 / $101.82	Professional		$51.23	$67.38	$101.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $154.35 / $484.04 / $1,036.83	Facility		$154.35	$484.04	$1,036.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $196.45 / $736.50	Professional		$82.84	$196.45	$736.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $5.79 / $162.16	Facility		$2.62	$5.79	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $79.23 / $113.02	Professional		$31.24	$79.23	$113.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.31 / $110.34 / $258.39	Facility		$61.31	$110.34	$258.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $109.20 / $215.15	Professional		$61.31	$109.20	$215.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.00 / $75.00	Professional		$40.00	$44.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.50 / $125.52 / $258.00	Facility		$104.50	$125.52	$258.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $82.84 / $82.84	Professional		$82.84	$82.84	$82.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $313.88 / $502.69 / $944.95	Facility		$313.88	$502.69	$944.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $164.87 / $217.33	Professional		$118.27	$164.87	$217.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $38.35 / $91.31	Professional		$25.88	$38.35	$91.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $37.01 / $37.01	Professional		$37.01	$37.01	$37.01