Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $72.59 / $135.74	Facility		$64.98	$72.59	$135.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.66 / $82.50	Professional		$66.00	$66.66	$82.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $95.07 / $326.39	Facility		$62.02	$95.07	$326.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $72.59 / $283.51	Professional		$66.00	$72.59	$283.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $64.22 / $155.72	Facility		$62.26	$64.22	$155.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $80.94	Professional		$66.00	$66.00	$80.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $69.20 / $166.76	Facility		$60.05	$69.20	$166.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $67.37 / $139.61	Professional		$53.89	$67.37	$139.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $71.80 / $88.10	Professional		$65.26	$71.80	$88.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $74.72 / $170.80	Facility		$65.25	$74.72	$170.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.82 / $96.10 / $173.66	Facility		$55.82	$96.10	$173.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $81.78 / $147.82	Professional		$67.84	$81.78	$147.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $76.06 / $126.76	Facility		$63.38	$76.06	$126.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $72.59 / $79.20	Professional		$66.00	$72.59	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $79.20	Professional		$66.00	$66.00	$79.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $66.00 / $66.00	Professional		$64.22	$66.00	$66.00