Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.71 / $201.29 / $542.90	Facility		$126.71	$201.29	$542.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $104.68 / $343.00	Professional		$79.48	$104.68	$343.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $146.77 / $219.04 / $499.54	Facility		$146.77	$219.04	$499.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $107.99 / $199.05 / $917.85	Professional		$107.99	$199.05	$917.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $106.00 / $115.00	Facility		$60.00	$106.00	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $160.66 / $332.23	Professional		$95.17	$160.66	$332.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $129.12 / $249.38	Facility		$82.46	$129.12	$249.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $122.52 / $240.30	Professional		$82.46	$122.52	$240.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $151.81 / $267.34	Professional		$27.82	$151.81	$267.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $180.95 / $220.43	Facility		$132.97	$180.95	$220.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.77 / $196.96 / $291.06	Facility		$146.77	$196.96	$291.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $236.94 / $286.26	Professional		$150.75	$236.94	$286.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.51 / $164.28 / $227.15	Facility		$138.51	$164.28	$227.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $113.51 / $191.58	Professional		$107.83	$113.51	$191.58
United Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $138.24 / $275.10	Professional		$106.74	$138.24	$275.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $118.64 / $118.64	Professional		$108.58	$118.64	$118.64