Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $95.07 / $23,344.01	Facility		$80.23	$95.07	$23,344.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $79.94 / $98.74	Professional		$78.37	$79.94	$98.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $73.72 / $113.45 / $387.60	Facility		$73.72	$113.45	$387.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $86.21 / $933.66	Professional		$78.37	$86.21	$933.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $77.09 / $186.97	Facility		$73.93	$77.09	$186.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $96.11	Professional		$78.37	$78.37	$96.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $84.36 / $191.01	Facility		$69.09	$84.36	$191.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $83.46 / $162.97	Professional		$65.55	$83.46	$162.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $86.20 / $104.65	Professional		$75.00	$86.20	$104.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $88.83 / $163.22	Facility		$78.37	$88.83	$163.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $112.79 / $206.42	Facility		$66.34	$112.79	$206.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $98.19 / $177.46	Professional		$81.45	$98.19	$177.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.63 / $90.10 / $151.34	Facility		$75.63	$90.10	$151.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $86.21 / $94.04	Professional		$78.37	$86.21	$94.04
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $94.04	Professional		$78.37	$78.37	$94.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $78.37 / $78.37	Professional		$77.09	$78.37	$78.37