Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.04 / $182.10 / $527.86	Facility		$90.04	$182.10	$527.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $95.80 / $193.60	Professional		$63.47	$95.80	$193.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.59 / $150.41 / $455.05	Facility		$100.59	$150.41	$455.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $187.37 / $718.50	Professional		$86.22	$187.37	$718.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.34 / $154.43 / $273.16	Facility		$59.34	$154.43	$273.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $104.48 / $133.55	Professional		$53.14	$104.48	$133.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $132.75 / $296.52	Facility		$95.80	$132.75	$296.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $150.75 / $296.52	Professional		$95.80	$150.75	$296.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $93.78 / $101.66	Professional		$75.00	$93.78	$101.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $95.80 / $201.18	Facility		$95.80	$95.80	$201.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $95.80 / $215.39	Facility		$86.22	$95.80	$215.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $119.75 / $144.66	Professional		$86.22	$119.75	$144.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.59 / $157.21 / $263.45	Facility		$100.59	$157.21	$263.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $186.55 / $222.91	Professional		$105.95	$186.55	$222.91
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $48.69 / $107.30	Professional		$40.24	$48.69	$107.30