Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $92.96 / $216.07	Professional		$74.23	$92.96	$216.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $829.11 / $829.11	Facility		$100.00	$829.11	$829.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $140.29 / $225.67	Professional		$19.27	$140.29	$225.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $151.61	Facility		$115.51	$115.51	$151.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $151.61	Professional		$98.18	$115.51	$151.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.64 / $172.64 / $172.64	Facility		$172.64	$172.64	$172.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.64 / $172.64 / $172.64	Professional		$172.64	$172.64	$172.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $173.94 / $191.33	Professional		$75.00	$173.94	$191.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $172.64 / $185.91 / $221.59	Facility		$172.64	$185.91	$221.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $185.91 / $208.45	Professional		$155.38	$185.91	$208.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $16.14 / $192.75	Facility		$16.14	$16.14	$192.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $162.58 / $192.75	Professional		$14.25	$162.58	$192.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $167.61 / $167.61 / $167.61	Facility		$167.61	$167.61	$167.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $18.64	Professional		$15.32	$15.32	$18.64
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $103.21 / $166.66	Professional		$86.74	$103.21	$166.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $271.04 / $271.04 / $271.04	Professional		$271.04	$271.04	$271.04