Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.32 / $144.33 / $244.05	Facility		$61.32	$144.33	$244.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $59.61 / $106.39	Professional		$45.75	$59.61	$106.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $125.83 / $240.69	Facility		$91.05	$125.83	$240.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $123.62 / $427.68	Professional		$73.28	$123.62	$427.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $104.74 / $169.18	Professional		$66.36	$104.74	$169.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $187.34 / $245.41	Professional		$187.34	$187.34	$245.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $128.05 / $136.68	Facility		$83.16	$128.05	$136.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $91.05 / $91.05	Facility		$88.43	$91.05	$91.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $122.62 / $167.53	Professional		$77.76	$122.62	$167.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $102.66 / $150.15	Professional		$74.20	$102.66	$150.15
United Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $112.86 / $194.06	Professional		$85.14	$112.86	$194.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $56.32 / $73.48	Professional		$51.85	$56.32	$73.48