Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.39 / $122.52 / $236.15	Facility		$111.39	$122.52	$236.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $100.85 / $269.58	Professional		$80.73	$100.85	$269.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $113.70 / $169.10 / $387.55	Facility		$113.70	$169.10	$387.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $155.41 / $709.28	Professional		$84.61	$155.41	$709.28
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 $80.84 / $119.16 / $241.42	Professional		$80.84	$119.16	$241.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $92.22 / $201.91	Facility		$36.29	$92.22	$201.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $93.07 / $194.91	Professional		$38.47	$93.07	$194.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $101.30 / $178.26	Professional		$18.59	$101.30	$178.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $163.10 / $170.18	Facility		$117.73	$163.10	$170.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.70 / $152.68 / $225.62	Facility		$113.70	$152.68	$225.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $183.32 / $221.01	Professional		$119.48	$183.32	$221.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.16 / $126.83 / $221.67	Facility		$107.16	$126.83	$221.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $87.63 / $148.41	Professional		$83.25	$87.63	$148.41
United Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $121.52 / $238.82	Professional		$82.81	$121.52	$238.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $93.00 / $93.00	Professional		$84.46	$93.00	$93.00