Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.51 / $144.00 / $38,243.81	Facility		$88.51	$144.00	$38,243.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $86.10 / $116.89	Professional		$85.12	$86.10	$116.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $122.81 / $419.35	Facility		$81.23	$122.81	$419.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $93.63 / $370.33	Professional		$85.12	$93.63	$370.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $83.88 / $167.74	Facility		$80.30	$83.88	$167.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $104.39	Professional		$85.12	$85.12	$104.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.12 / $259.23	Facility		$85.12	$85.12	$259.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $201.15	Professional		$85.12	$85.12	$201.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $93.63 / $113.22	Professional		$80.00	$93.63	$113.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $96.51 / $222.09	Facility		$85.12	$96.51	$222.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.64 / $126.24 / $225.98	Facility		$72.64	$126.24	$225.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $106.83 / $193.08	Professional		$88.63	$106.83	$193.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.87 / $98.24 / $182.28	Facility		$81.87	$98.24	$182.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $93.63 / $102.14	Professional		$85.12	$93.63	$102.14
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $102.14	Professional		$85.12	$85.12	$102.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $85.12 / $85.12	Professional		$83.88	$85.12	$85.12