Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.56 / $173.13 / $607.66	Facility		$95.56	$173.13	$607.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $91.50 / $310.00	Professional		$57.61	$91.50	$310.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $129.26 / $200.40 / $458.69	Facility		$129.26	$200.40	$458.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $156.60 / $842.25	Professional		$93.43	$156.60	$842.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $108.00 / $118.00	Facility		$90.00	$108.00	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $101.29 / $248.85	Professional		$69.89	$101.29	$248.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.95 / $111.47 / $230.45	Facility		$72.95	$111.47	$230.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $111.47 / $210.43	Professional		$72.95	$111.47	$210.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $148.17 / $262.64	Professional		$28.36	$148.17	$262.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $181.06 / $201.67	Facility		$122.11	$181.06	$201.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $180.95 / $267.41	Facility		$134.09	$180.95	$267.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $188.34 / $252.15	Professional		$135.60	$188.34	$252.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $150.30 / $217.11	Facility		$125.25	$150.30	$217.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $103.85 / $173.00	Professional		$97.62	$103.85	$173.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $87.70 / $249.45	Professional		$81.68	$87.70	$249.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $110.28 / $110.28	Professional		$99.98	$110.28	$110.28