Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $81.73 / $282.72	Facility		$48.23	$81.73	$282.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $48.23 / $75.94	Professional		$33.58	$48.23	$75.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $84.20 / $211.98	Facility		$53.88	$84.20	$211.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $99.98 / $384.83	Professional		$46.18	$99.98	$384.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.99 / $93.07 / $150.08	Facility		$34.99	$93.07	$150.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $57.57 / $70.13	Professional		$30.30	$57.57	$70.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $75.54 / $158.41	Facility		$51.31	$75.54	$158.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $90.63 / $158.41	Professional		$51.31	$90.63	$158.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
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 $51.31 / $89.79 / $159.06	Facility		$51.31	$89.79	$159.06
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 / $84.66 / $141.10	Facility		$53.88	$84.66	$141.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $99.67 / $119.20	Professional		$56.75	$99.67	$119.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $26.61 / $61.57	Professional		$21.55	$26.61	$61.57