Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.14 / $75.14 / $75.14	Facility		$75.14	$75.14	$75.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $75.14 / $102.00	Professional		$49.74	$75.14	$102.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $104.09 / $164.36	Facility		$90.94	$104.09	$164.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $383.50 / $493.07	Professional		$93.13	$383.50	$493.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $186.26	Facility		$93.13	$93.13	$186.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $65.51 / $118.95	Facility		$47.45	$65.51	$118.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $184.97 / $184.97	Facility		$154.00	$184.97	$184.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $90.94 / $93.13	Facility		$90.94	$90.94	$93.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $93.13 / $98.61	Professional		$84.37	$93.13	$98.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $155.40 / $210.00	Professional		$148.40	$155.40	$210.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $98.70	Professional		$91.30	$91.30	$98.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.72 / $1.72	Professional		$1.72	$1.72	$1.72