Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $105.59 / $282.72	Facility		$48.23	$105.59	$282.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $48.23 / $81.73	Professional		$27.19	$48.23	$81.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $89.79 / $243.72	Facility		$53.88	$89.79	$243.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $99.98 / $384.83	Professional		$46.18	$99.98	$384.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.78 / $93.07 / $150.08	Facility		$35.78	$93.07	$150.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $57.64 / $78.81	Professional		$32.03	$57.64	$78.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $75.54 / $158.41	Facility		$51.31	$75.54	$158.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $90.90 / $159.16	Professional		$51.31	$90.90	$159.16
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 $51.31 / $51.31 / $107.75	Facility		$51.31	$51.31	$107.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $89.79 / $153.93	Facility		$51.31	$89.79	$153.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $64.14 / $77.48	Professional		$46.18	$64.14	$77.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $84.66 / $141.10	Facility		$53.88	$84.66	$141.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $99.67 / $119.20	Professional		$59.83	$99.67	$119.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $29.36 / $57.47	Professional		$21.55	$29.36	$57.47