Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $78.83 / $179.74	Professional		$76.01	$78.83	$179.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $719.88 / $719.88	Facility		$100.00	$719.88	$719.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $122.33 / $178.44	Professional		$15.04	$122.33	$178.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $100.30	Facility		$100.30	$100.30	$100.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $131.63	Professional		$85.26	$100.30	$131.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.15 / $145.15 / $145.15	Facility		$145.15	$145.15	$145.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $145.15 / $145.15	Professional		$145.15	$145.15	$145.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $140.21 / $154.23	Professional		$75.00	$140.21	$154.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.15 / $157.66 / $181.37	Facility		$145.15	$157.66	$181.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $157.66 / $173.17	Professional		$137.88	$157.66	$173.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $134.09 / $134.09	Facility		$13.41	$134.09	$134.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $119.78 / $162.06	Professional		$11.98	$119.78	$162.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $140.91 / $140.91	Facility		$140.91	$140.91	$140.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $15.04	Professional		$12.35	$12.35	$15.04
United Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $83.20 / $145.40	Professional		$75.65	$83.20	$145.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $124.36 / $124.36	Professional		$124.36	$124.36	$124.36