Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.03 / $78.51 / $145.27	Facility		$68.03	$78.51	$145.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $73.51 / $89.92	Professional		$71.37	$73.51	$89.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.78 / $96.57 / $338.15	Facility		$61.78	$96.57	$338.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $78.51 / $288.38	Professional		$71.37	$78.51	$288.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $67.33 / $158.40	Facility		$65.31	$67.33	$158.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $87.53	Professional		$71.37	$71.37	$87.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.35 / $78.51 / $180.00	Facility		$59.35	$78.51	$180.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $75.36 / $142.74	Professional		$62.16	$75.36	$142.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $75.00 / $91.30	Professional		$67.63	$75.00	$91.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.83 / $80.80 / $209.52	Facility		$69.83	$80.80	$209.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.53 / $94.41 / $172.77	Facility		$55.53	$94.41	$172.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $83.19 / $150.35	Professional		$72.70	$83.19	$150.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.38 / $78.51 / $128.76	Facility		$64.38	$78.51	$128.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $78.51 / $85.65	Professional		$71.37	$78.51	$85.65
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $85.64	Professional		$71.37	$71.37	$85.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $71.37 / $71.37	Professional		$65.31	$71.37	$71.37