Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.01 / $89.01 / $89.01	Facility		$89.01	$89.01	$89.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $65.50 / $89.01	Professional		$52.25	$65.50	$89.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $115.55 / $304.29 / $304.29	Facility		$115.55	$304.29	$304.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $151.59 / $577.79	Professional		$83.00	$151.59	$577.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $104.14 / $204.11	Professional		$61.31	$104.14	$204.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.11 / $100.44 / $145.28	Facility		$56.11	$100.44	$145.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $94.87 / $149.77	Professional		$52.70	$94.87	$149.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.00 / $75.00	Professional		$40.00	$44.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $131.78 / $134.66	Facility		$110.47	$131.78	$134.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $150.61 / $188.40	Professional		$92.82	$150.61	$188.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $130.00 / $161.51	Professional		$92.40	$130.00	$161.51
United Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $92.81 / $175.23	Professional		$59.11	$92.81	$175.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Professional		$77.09	$77.09	$77.09