Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $166.00 / $386.80	Facility		$65.98	$166.00	$386.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $68.09 / $136.88	Professional		$37.21	$68.09	$136.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $110.21 / $333.45	Facility		$73.70	$110.21	$333.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $137.05 / $526.50	Professional		$63.18	$137.05	$526.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $149.22 / $225.32	Facility		$72.45	$149.22	$225.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $78.56 / $95.60	Professional		$43.45	$78.56	$95.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $103.55 / $216.88	Facility		$70.20	$103.55	$216.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $124.20 / $216.88	Professional		$70.20	$124.20	$216.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $68.72 / $75.00	Professional		$62.48	$68.72	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $70.20 / $105.30	Facility		$70.20	$70.20	$105.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $63.18 / $70.20	Facility		$63.18	$63.18	$70.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $87.75 / $106.00	Professional		$63.18	$87.75	$106.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $115.83 / $193.05	Facility		$73.70	$115.83	$193.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $136.71 / $163.31	Professional		$77.64	$136.71	$163.31
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $36.40 / $78.62	Professional		$29.48	$36.40	$78.62