Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $87.95 / $252.56	Facility		$51.31	$87.95	$252.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $51.31 / $80.00	Professional		$35.92	$51.31	$80.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $78.00 / $243.72	Facility		$51.31	$78.00	$243.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $100.00 / $384.83	Professional		$48.74	$100.00	$384.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $83.38 / $150.08	Facility		$51.31	$83.38	$150.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $57.64 / $78.81	Professional		$28.54	$57.64	$78.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $64.14 / $175.31	Facility		$51.31	$64.14	$175.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $87.23 / $158.41	Professional		$51.31	$87.23	$158.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $84.48 / $91.57	Professional		$75.00	$84.48	$91.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $76.97	Facility		$51.31	$51.31	$76.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $51.31	Facility		$46.18	$46.18	$51.31
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 / $84.20 / $141.10	Facility		$53.88	$84.20	$141.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $99.98 / $137.24	Professional		$61.45	$99.98	$137.24
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $57.47	Professional		$30.79	$30.79	$57.47