Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.41 / $163.36 / $198.18	Facility		$92.41	$163.36	$198.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $85.52 / $163.65	Professional		$65.84	$85.52	$163.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $167.13 / $819.22	Facility		$96.49	$167.13	$819.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $134.32 / $604.79	Professional		$73.48	$134.32	$604.79
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 $71.06 / $120.57 / $219.29	Professional		$71.06	$120.57	$219.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $97.92 / $206.23	Facility		$57.12	$97.92	$206.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $95.88 / $179.56	Professional		$59.36	$95.88	$179.56
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 $101.15 / $139.36 / $163.28	Facility		$101.15	$139.36	$163.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $130.01 / $192.13	Facility		$96.49	$130.01	$192.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $155.06 / $188.81	Professional		$102.08	$155.06	$188.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.65 / $108.35 / $186.10	Facility		$90.65	$108.35	$186.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $74.86 / $124.73	Professional		$71.12	$74.86	$124.73
United Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $120.18 / $205.93	Professional		$71.16	$120.18	$205.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $79.13 / $79.13	Professional		$72.36	$79.13	$79.13