Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.29 / $120.29 / $120.29	Facility		$120.29	$120.29	$120.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $88.76 / $120.29	Professional		$70.44	$88.76	$120.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $174.08 / $1,105.00 / $1,105.00	Facility		$174.08	$1,105.00	$1,105.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $187.01 / $785.48	Professional		$103.76	$187.01	$785.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $420.00	Facility		$420.00	$420.00	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $138.94 / $277.13	Professional		$82.21	$138.94	$277.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $76.26 / $136.08 / $198.11	Facility		$76.26	$136.08	$198.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $129.37 / $203.56	Professional		$71.30	$129.37	$203.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $707.39	Professional		$30.00	$50.00	$707.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.03 / $178.87 / $182.91	Facility		$150.03	$178.87	$182.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.77 / $204.56 / $255.88	Professional		$125.77	$204.56	$255.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $176.15 / $218.41	Professional		$125.20	$176.15	$218.41
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $119.37 / $223.34	Professional		$73.40	$119.37	$223.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $100.00	Professional		$20.00	$20.00	$100.00