Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $91.42 / $200.19	Professional		$73.28	$91.42	$200.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $821.01 / $821.01	Facility		$100.00	$821.01	$821.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $139.44 / $217.21	Professional		$18.41	$139.44	$217.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $150.25	Facility		$114.47	$114.47	$150.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $178.20	Professional		$97.30	$114.47	$178.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $171.93 / $171.93 / $171.93	Facility		$171.93	$171.93	$171.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.93 / $171.93 / $171.93	Professional		$171.93	$171.93	$171.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $171.72 / $188.89	Professional		$75.00	$171.72	$188.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.86 / $171.93 / $215.24	Facility		$168.86	$171.93	$215.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $171.93 / $204.99	Professional		$163.33	$171.93	$204.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $160.44 / $160.44	Facility		$16.04	$160.44	$160.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $183.59 / $191.96	Professional		$14.19	$183.59	$191.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $166.92 / $166.92 / $166.92	Facility		$166.92	$166.92	$166.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $15.12 / $18.41	Professional		$15.12	$15.12	$18.41
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $101.89 / $167.32	Professional		$87.07	$101.89	$167.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $152.30 / $152.30	Professional		$152.30	$152.30	$152.30