Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $89.93 / $230.10	Facility		$39.25	$89.93	$230.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $39.25 / $81.43	Professional		$39.25	$39.25	$81.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $73.08 / $199.32	Facility		$43.85	$73.08	$199.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $91.04 / $343.25	Professional		$37.58	$91.04	$343.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $75.73 / $122.13	Facility		$28.91	$75.73	$122.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $47.00 / $57.18	Professional		$26.02	$47.00	$57.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $61.39 / $128.78	Facility		$41.76	$61.39	$128.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $73.80 / $128.78	Professional		$41.76	$73.80	$128.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $40.88 / $75.00	Professional		$37.17	$40.88	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $41.76 / $89.70	Facility		$41.76	$41.76	$89.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $73.08 / $125.28	Facility		$41.76	$73.08	$125.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $37.58 / $37.58	Professional		$37.58	$37.58	$37.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $68.90 / $114.84	Facility		$43.85	$68.90	$114.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $81.31 / $96.75	Professional		$48.69	$81.31	$96.75
United Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $50.11 / $50.11	Facility		$41.76	$50.11	$50.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $23.86 / $46.77	Professional		$17.54	$23.86	$46.77