Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $78.48 / $179.30	Facility		$69.25	$78.48	$179.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $69.25 / $92.69	Professional		$50.93	$69.25	$92.69
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.48 / $70.06 / $76.20	Professional	25	$14.48	$70.06	$76.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.15 / $137.68 / $336.07	Facility		$90.15	$137.68	$336.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $135.84 / $201.38	Professional		$91.14	$135.84	$201.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.21 / $140.11 / $200.39	Professional		$61.21	$140.11	$200.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.71 / $132.71 / $132.71	Facility		$132.71	$132.71	$132.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $132.71 / $132.71	Professional		$132.71	$132.71	$132.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.83 / $96.36 / $156.18	Professional		$18.83	$96.36	$156.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.48 / $130.65 / $148.74	Facility		$94.48	$130.65	$148.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.15 / $90.15 / $96.24	Facility		$90.15	$90.15	$96.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $156.11 / $201.38	Professional		$97.13	$156.11	$201.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $145.66 / $196.58	Professional		$91.14	$145.66	$196.58
United Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $100.92 / $212.40	Professional		$77.98	$100.92	$212.40