Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $100.95 / $69,707.48	Facility		$80.90	$100.95	$69,707.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.90 / $99.11	Professional		$82.08	$82.90	$99.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $131.18 / $337.90	Facility		$90.29	$131.18	$337.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $90.29 / $337.90	Professional		$82.08	$90.29	$337.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $77.43 / $82.07	Facility		$76.53	$77.43	$82.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $100.66	Professional		$82.07	$82.07	$100.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $82.08 / $299.58	Facility		$82.08	$82.08	$299.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $138.00	Professional		$82.08	$82.08	$138.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $84.18 / $103.31	Professional		$50.00	$84.18	$103.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $92.92 / $170.73	Facility		$81.91	$92.92	$170.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.86 / $131.18 / $200.42	Facility		$80.86	$131.18	$200.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $97.46 / $176.14	Professional		$80.86	$97.46	$176.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $114.35 / $152.46	Facility		$90.29	$114.35	$152.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $90.29 / $98.49	Professional		$82.08	$90.29	$98.49
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $98.50	Professional		$82.08	$82.08	$98.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $82.08 / $82.08	Professional		$76.53	$82.08	$82.08