Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $102.30 / $136.40	Facility		$76.34	$102.30	$136.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $59.78 / $83.43	Professional		$48.89	$59.78	$83.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $261.89 / $261.89	Facility		$80.63	$261.89	$261.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $82.24 / $484.80	Professional		$55.95	$82.24	$484.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $68.03 / $141.91	Professional		$45.00	$68.03	$141.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.52 / $69.92 / $134.97	Facility		$51.52	$69.92	$134.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $69.03 / $124.88	Professional		$51.31	$69.03	$124.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.14 / $115.36 / $121.04	Facility		$81.14	$115.36	$121.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $80.63 / $80.63	Facility		$80.63	$80.63	$80.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $124.18 / $157.84	Professional		$72.20	$124.18	$157.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $116.50 / $116.50 / $116.50	Facility		$116.50	$116.50	$116.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $70.73 / $89.89	Professional		$56.60	$70.73	$89.89
United Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $116.60 / $173.94	Professional		$73.92	$116.60	$173.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $57.13 / $61.48	Professional		$48.31	$57.13	$61.48