Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $155.66 / $23,500.03	Facility		$82.74	$155.66	$23,500.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $77.48 / $94.77	Professional		$75.22	$77.48	$94.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $116.52 / $462.80	Facility		$79.20	$116.52	$462.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $82.74 / $359.03	Professional		$75.22	$82.74	$359.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $75.22 / $152.86	Facility		$70.95	$75.22	$152.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $92.25	Professional		$75.22	$75.22	$92.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $114.06 / $239.55	Facility		$75.22	$114.06	$239.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $123.36 / $228.15	Professional		$75.22	$123.36	$228.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $82.74 / $101.54	Professional		$75.00	$82.74	$101.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $86.57 / $225.66	Facility		$75.22	$86.57	$225.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $126.72 / $221.75	Facility		$71.28	$126.72	$221.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $97.73 / $176.63	Professional		$85.42	$97.73	$176.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.68 / $95.40 / $172.95	Facility		$77.68	$95.40	$172.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $82.74 / $90.26	Professional		$75.22	$82.74	$90.26
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $90.26	Professional		$75.22	$75.22	$90.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $76.73	Professional		$75.22	$75.22	$76.73