Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $85.90 / $196.75	Professional		$85.78	$85.90	$196.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $339.84 / $802.71	Facility		$15.06	$339.84	$802.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $130.15 / $201.58	Professional		$16.39	$130.15	$201.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Facility		$70.53	$70.53	$70.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $59.95 / $147.05	Professional		$51.49	$59.95	$147.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $165.08 / $165.08	Facility		$165.08	$165.08	$165.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $165.08 / $165.08	Professional		$165.08	$165.08	$165.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $123.81 / $199.17	Professional		$16.51	$123.81	$199.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $169.29 / $191.98	Facility		$165.08	$169.29	$191.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $150.57 / $150.57	Facility		$15.06	$150.57	$150.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $172.29 / $184.31	Professional		$13.63	$172.29	$184.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.27 / $160.27 / $160.27	Facility		$160.27	$160.27	$160.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $16.39	Professional		$13.46	$13.46	$16.39
United Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $80.98 / $155.69	Professional		$78.09	$80.98	$155.69