Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $93.27 / $187.61	Facility		$75.56	$93.27	$187.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $76.59 / $102.11	Professional		$74.36	$76.59	$102.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $106.89 / $366.85	Facility		$70.23	$106.89	$366.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $81.80 / $1,209.31	Professional		$74.36	$81.80	$1,209.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $72.91 / $176.81	Facility		$70.15	$72.91	$176.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $91.20	Professional		$74.36	$74.36	$91.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $85.26 / $198.01	Facility		$65.62	$85.26	$198.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $81.81 / $153.87	Professional		$68.04	$81.81	$153.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $80.70 / $99.04	Professional		$73.37	$80.70	$99.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $84.29 / $204.74	Facility		$74.36	$84.29	$204.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.22 / $107.47 / $196.68	Facility		$63.22	$107.47	$196.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $92.85 / $167.82	Professional		$77.04	$92.85	$167.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.26 / $85.51 / $143.60	Facility		$71.26	$85.51	$143.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $81.80 / $89.23	Professional		$74.36	$81.80	$89.23
United Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $74.36 / $89.23	Professional		$73.37	$74.36	$89.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $74.36 / $74.36	Professional		$72.91	$74.36	$74.36