Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $128.72 / $337.58	Facility		$73.56	$128.72	$337.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $60.71 / $141.13	Professional		$48.22	$60.71	$141.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $104.52 / $234.66	Facility		$67.42	$104.52	$234.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $86.27 / $446.18	Professional		$52.44	$86.27	$446.18
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 $43.05 / $62.17 / $117.60	Professional		$43.05	$62.17	$117.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $67.70 / $130.76	Facility		$44.16	$67.70	$130.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $66.65 / $125.99	Professional		$43.18	$66.65	$125.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $50.46 / $90.97	Professional		$9.44	$50.46	$90.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.19 / $102.62 / $105.86	Facility		$68.19	$102.62	$105.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $95.17 / $140.63	Facility		$72.48	$95.17	$140.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $99.82 / $133.44	Professional		$72.45	$99.82	$133.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $78.39 / $124.98	Facility		$67.34	$78.39	$124.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $55.20 / $94.60	Professional		$51.46	$55.20	$94.60
United Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $54.13 / $133.62	Professional		$42.62	$54.13	$133.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $58.30 / $58.30	Professional		$51.55	$58.30	$58.30