Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.52 / $124.05 / $4,384.26	Facility		$80.52	$124.05	$4,384.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $79.79 / $148.62	Professional		$73.20	$79.79	$148.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $108.69 / $381.80	Facility		$72.45	$108.69	$381.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $80.52 / $2,022.25	Professional		$73.20	$80.52	$2,022.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $73.19 / $177.49	Facility		$69.06	$73.19	$177.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $89.77	Professional		$73.20	$73.20	$89.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $91.02 / $187.41	Facility		$73.20	$91.02	$187.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $94.55 / $183.70	Professional		$73.20	$94.55	$183.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $80.35 / $98.18	Professional		$72.73	$80.35	$98.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $73.20 / $128.24	Facility		$72.45	$73.20	$128.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $113.33 / $207.40	Facility		$66.67	$113.33	$207.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $93.22 / $168.48	Professional		$77.33	$93.22	$168.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $86.95 / $161.33	Facility		$72.45	$86.95	$161.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $80.52 / $87.84	Professional		$73.20	$80.52	$87.84
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $87.84	Professional		$73.20	$73.20	$87.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $73.20 / $73.20	Professional		$73.19	$73.20	$73.20