Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.92 / $85.84 / $319.58	Facility		$42.92	$85.84	$319.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $54.52 / $85.84	Professional		$19.10	$54.52	$85.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $92.80 / $239.62	Facility		$58.00	$92.80	$239.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $120.41 / $435.00	Professional		$44.66	$120.41	$435.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $93.50 / $149.76	Facility		$13.88	$93.50	$149.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $61.28 / $79.06	Professional		$13.94	$61.28	$79.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $66.59 / $159.93	Facility		$31.63	$66.59	$159.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $73.34 / $159.93	Professional		$41.00	$73.34	$159.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $56.78 / $75.00	Professional		$51.62	$56.78	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $121.80	Facility		$58.00	$58.00	$121.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $92.80 / $174.00	Facility		$52.20	$92.80	$174.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $52.20 / $52.20	Professional		$52.20	$52.20	$52.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $92.80 / $159.50	Facility		$60.90	$92.80	$159.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $113.15 / $134.68	Professional		$64.15	$113.15	$134.68
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $24.36 / $64.95	Professional		$11.77	$24.36	$64.95