Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $95.20 / $236.26	Facility		$43.67	$95.20	$236.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $42.36 / $68.77	Professional		$31.04	$42.36	$68.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $76.42 / $207.43	Facility		$45.85	$76.42	$207.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $92.68 / $329.81	Professional		$39.29	$92.68	$329.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $89.43 / $127.76	Facility		$27.76	$89.43	$127.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $48.83 / $59.41	Professional		$25.11	$48.83	$59.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $62.93 / $134.69	Facility		$43.67	$62.93	$134.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $71.28 / $130.74	Professional		$43.67	$71.28	$130.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $42.75 / $75.00	Professional		$38.86	$42.75	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $43.67 / $91.71	Facility		$43.67	$43.67	$91.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $76.42 / $131.01	Facility		$43.67	$76.42	$131.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $39.29 / $39.29	Professional		$39.29	$39.29	$39.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $71.68 / $120.09	Facility		$45.85	$71.68	$120.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $84.85 / $101.39	Professional		$48.30	$84.85	$101.39
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $22.95 / $48.91	Professional		$18.34	$22.95	$48.91