Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.37 / $178.48 / $578.51	Facility		$92.37	$178.48	$578.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $86.27 / $233.93	Professional		$60.09	$86.27	$233.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.08 / $202.38 / $470.81	Facility		$127.08	$202.38	$470.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $157.66 / $851.03	Professional		$94.39	$157.66	$851.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $108.00 / $115.00	Facility		$106.00	$108.00	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $107.36 / $248.85	Professional		$74.51	$107.36	$248.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.08 / $109.49 / $236.44	Facility		$70.08	$109.49	$236.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $111.69 / $227.16	Professional		$72.23	$111.69	$227.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.23 / $202.61 / $356.23	Professional		$37.23	$202.61	$356.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.94 / $175.54 / $203.68	Facility		$126.94	$175.54	$203.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.99 / $182.79 / $270.12	Facility		$134.99	$182.79	$270.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $188.34 / $251.79	Professional		$135.60	$188.34	$251.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $126.49 / $151.79 / $234.45	Facility		$126.49	$151.79	$234.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $104.03 / $174.72	Professional		$98.59	$104.03	$174.72
United Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $92.75 / $247.49	Professional		$79.41	$92.75	$247.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $113.44 / $113.44	Professional		$102.67	$113.44	$113.44