Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $206.81 / $878.83	Facility		$48.12	$206.81	$878.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $92.55 / $300.58	Professional		$40.26	$92.55	$300.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $84.00 / $215.01	Facility		$53.75	$84.00	$215.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $108.96 / $386.73	Professional		$46.07	$108.96	$386.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $104.80 / $133.08	Facility		$27.80	$104.80	$133.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $54.01 / $69.69	Professional		$27.02	$54.01	$69.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $75.25 / $141.74	Facility		$50.53	$75.25	$141.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $82.00 / $138.94	Professional		$50.53	$82.00	$138.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $50.11 / $75.00	Professional		$45.56	$50.11	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $51.19 / $107.50	Facility		$51.19	$51.19	$107.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $89.58 / $153.57	Facility		$51.19	$89.58	$153.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $46.07 / $46.07	Professional		$46.07	$46.07	$46.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $82.80 / $140.77	Facility		$53.75	$82.80	$140.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $99.67 / $119.20	Professional		$56.62	$99.67	$119.20
United Facility/Professional Facility Modifier Low / Median / High Price $44.04 / $48.63 / $51.19	Facility		$44.04	$48.63	$51.19
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $32.86 / $77.30	Professional		$30.71	$32.86	$77.30