Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.84 / $156.82 / $424.28	Facility		$88.84	$156.82	$424.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $75.64 / $218.00	Professional		$52.82	$75.64	$218.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $105.85 / $152.46 / $351.19	Facility		$105.85	$152.46	$351.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $165.08 / $637.50	Professional		$83.23	$165.08	$637.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $106.00 / $120.00	Facility		$60.00	$106.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $118.69 / $230.99	Professional		$72.06	$118.69	$230.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $81.43 / $183.70	Facility		$34.83	$81.43	$183.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $82.80 / $174.34	Professional		$36.92	$82.80	$174.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $101.53 / $178.26	Professional		$18.59	$101.53	$178.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $148.25 / $153.43	Facility		$108.04	$148.25	$153.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.52 / $137.43 / $203.09	Facility		$114.52	$137.43	$203.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $125.95 / $198.37	Professional		$120.00	$125.95	$198.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $114.35 / $202.52	Facility		$96.58	$114.35	$202.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $129.66 / $197.32	Professional		$92.73	$129.66	$197.32
United Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $110.25 / $216.00	Professional		$75.04	$110.25	$216.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $83.75 / $83.75	Professional		$76.43	$83.75	$83.75