Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $103.51 / $221.96	Professional		$97.70	$103.51	$221.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $416.05 / $970.44	Facility		$17.14	$416.05	$970.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $153.44 / $209.57	Professional		$16.39	$153.44	$209.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $83.15 / $83.15	Facility		$83.15	$83.15	$83.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $70.68 / $177.98	Professional		$60.70	$70.68	$177.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $197.25 / $197.25 / $197.25	Facility		$197.25	$197.25	$197.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.25 / $197.25 / $197.25	Professional		$197.25	$197.25	$197.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $147.94 / $199.59	Professional		$19.72	$147.94	$199.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.63 / $197.25 / $199.59	Facility		$179.63	$197.25	$199.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $171.51 / $171.51	Facility		$17.14	$171.51	$171.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $174.94 / $345.84	Professional		$16.28	$174.94	$345.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $191.51 / $191.51 / $191.51	Facility		$191.51	$191.51	$191.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $16.39	Professional		$13.47	$13.47	$16.39
United Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $97.22 / $186.94	Professional		$92.06	$97.22	$186.94