Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.53 / $150.06 / $8,253.09	Facility		$82.53	$150.06	$8,253.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $78.78 / $137.90	Professional		$75.03	$78.78	$137.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.47 / $117.12 / $498.40	Facility		$80.47	$117.12	$498.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $82.53 / $3,766.52	Professional		$75.03	$82.53	$3,766.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $75.02 / $186.85	Facility		$70.78	$75.02	$186.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $92.01	Professional		$75.02	$75.02	$92.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $101.29 / $233.46	Facility		$75.03	$101.29	$233.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $108.32 / $224.66	Professional		$75.03	$108.32	$224.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $83.25 / $101.29	Professional		$75.00	$83.25	$101.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $86.24 / $225.09	Facility		$75.03	$86.24	$225.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.42 / $128.74 / $225.30	Facility		$72.42	$128.74	$225.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $98.13 / $177.36	Professional		$85.77	$98.13	$177.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $93.70 / $176.50	Facility		$78.08	$93.70	$176.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $82.53 / $90.03	Professional		$75.03	$82.53	$90.03
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $90.04	Professional		$75.03	$75.03	$90.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $77.05	Professional		$75.03	$75.03	$77.05