Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $98.54 / $154.91	Facility		$51.80	$98.54	$154.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $72.14 / $125.64	Professional		$37.92	$72.14	$125.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $184.85 / $274.16 / $524.74	Facility		$184.85	$274.16	$524.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $103.54 / $686.87	Professional		$54.98	$103.54	$686.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $93.94 / $167.23	Professional		$52.82	$93.94	$167.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $100.13 / $218.26	Facility		$51.25	$100.13	$218.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $83.65 / $177.72	Professional		$44.64	$83.65	$177.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.83 / $104.56 / $184.46	Professional		$18.83	$104.56	$184.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $111.45 / $183.40	Facility		$79.73	$111.45	$183.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.75 / $74.75 / $77.69	Facility		$74.75	$74.75	$77.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $99.26 / $143.91	Professional		$64.73	$99.26	$143.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $209.54 / $279.55 / $524.74	Facility		$209.54	$279.55	$524.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $82.45 / $132.01	Professional		$54.98	$82.45	$132.01
United Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $118.46 / $162.97	Professional		$61.56	$118.46	$162.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $46.93 / $61.68	Professional		$38.31	$46.93	$61.68