Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $132.54 / $30,442.20	Facility		$78.02	$132.54	$30,442.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $80.58 / $108.49	Professional		$79.00	$80.58	$108.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $111.23 / $376.05	Facility		$70.55	$111.23	$376.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $86.90 / $6,210.38	Professional		$79.00	$86.90	$6,210.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $74.83 / $181.46	Facility		$74.52	$74.83	$181.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $96.88	Professional		$79.00	$79.00	$96.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $88.00 / $182.06	Facility		$65.28	$88.00	$182.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $87.93 / $158.00	Professional		$62.40	$87.93	$158.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $82.73 / $101.53	Professional		$75.00	$82.73	$101.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $89.43 / $164.32	Facility		$78.45	$89.43	$164.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $107.62 / $196.96	Facility		$63.31	$107.62	$196.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $95.30 / $172.24	Professional		$79.06	$95.30	$172.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $88.19 / $156.47	Facility		$74.15	$88.19	$156.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $86.90 / $94.80	Professional		$79.00	$86.90	$94.80
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $94.80	Professional		$79.00	$79.00	$94.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $79.00 / $79.00	Professional		$74.83	$79.00	$79.00