Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $74.58 / $168.92	Professional		$54.34	$74.58	$168.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $679.35 / $679.35	Facility		$100.00	$679.35	$679.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $115.62 / $169.92	Professional		$13.66	$115.62	$169.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $124.23	Facility		$94.65	$94.65	$124.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $145.80	Professional		$80.45	$94.65	$145.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $139.41 / $139.41	Facility		$139.41	$139.41	$139.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $139.41 / $139.41	Professional		$139.41	$139.41	$139.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $114.82 / $153.10	Professional		$15.32	$114.82	$153.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $149.15 / $169.35	Facility		$139.41	$149.15	$169.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $131.96 / $139.41 / $161.83	Professional		$131.96	$139.41	$161.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $12.67 / $155.65	Facility		$12.67	$12.67	$155.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $135.35 / $144.97	Professional		$11.51	$135.35	$144.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $135.35 / $135.35 / $135.35	Facility		$135.35	$135.35	$135.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $13.66	Professional		$11.22	$11.22	$13.66
United Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $75.56 / $135.66	Professional		$70.58	$75.56	$135.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $118.39 / $118.39	Professional		$118.39	$118.39	$118.39