Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.26 / $80.56 / $294.62	Facility		$50.26	$80.56	$294.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $50.26 / $79.14	Professional		$26.73	$50.26	$79.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $85.55 / $220.91	Facility		$56.14	$85.55	$220.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $116.56 / $401.03	Professional		$48.12	$116.56	$401.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $86.20 / $138.08	Facility		$24.18	$86.20	$138.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $56.43 / $72.81	Professional		$24.27	$56.43	$72.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $66.42 / $148.56	Facility		$48.12	$66.42	$148.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $76.88 / $148.56	Professional		$48.64	$76.88	$148.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $52.34 / $75.00	Professional		$47.59	$52.34	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $53.47 / $101.22	Facility		$53.47	$53.47	$101.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $88.48 / $160.41	Facility		$53.47	$88.48	$160.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $48.12 / $48.12	Professional		$48.12	$48.12	$48.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $85.55 / $147.04	Facility		$56.14	$85.55	$147.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $104.39 / $124.61	Professional		$59.14	$104.39	$124.61
United Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $22.46 / $59.89	Professional		$20.51	$22.46	$59.89