Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $208.24 / $370.09	Facility		$138.63	$208.24	$370.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $124.09 / $254.88	Professional		$96.20	$124.09	$254.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $206.38 / $472.31	Facility		$139.07	$206.38	$472.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $227.08 / $869.48	Professional		$120.56	$227.08	$869.48
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 $103.94 / $170.19 / $314.67	Professional		$103.94	$170.19	$314.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.67 / $125.06 / $265.55	Facility		$89.67	$125.06	$265.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $129.44 / $247.42	Professional		$89.67	$129.44	$247.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $202.61 / $356.53	Professional		$37.18	$202.61	$356.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $206.36 / $209.04	Facility		$151.16	$206.36	$209.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $186.55 / $275.68	Facility		$139.07	$186.55	$275.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.82 / $223.18 / $270.99	Professional		$145.82	$223.18	$270.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $130.46 / $154.79 / $283.70	Facility		$130.46	$154.79	$283.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $183.17 / $268.45	Professional		$125.26	$183.17	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $149.76 / $295.69	Professional		$100.92	$149.76	$295.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $114.06 / $114.06	Professional		$103.05	$114.06	$114.06