Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.12 / $98.50 / $370.18	Facility		$59.12	$98.50	$370.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $51.41 / $77.31	Professional		$19.96	$51.41	$77.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $124.50 / $283.08	Facility		$80.48	$124.50	$283.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $108.41 / $533.48	Professional		$56.82	$108.41	$533.48
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 $30.40 / $66.59 / $143.96	Professional		$30.40	$66.59	$143.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $38.79 / $96.77	Facility		$27.20	$38.79	$96.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $41.86 / $92.77	Professional		$27.20	$41.86	$92.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $49.63 / $90.15	Professional		$9.66	$49.63	$90.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $102.84 / $125.29	Facility		$43.99	$102.84	$125.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $113.54 / $167.79	Facility		$86.52	$113.54	$167.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $118.97 / $157.88	Professional		$85.88	$118.97	$157.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $93.38 / $124.50	Facility		$77.81	$93.38	$124.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $65.90 / $107.48	Professional		$60.65	$65.90	$107.48
United Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $53.05 / $141.56	Professional		$29.36	$53.05	$141.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $70.93 / $70.93	Professional		$62.32	$70.93	$70.93