Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $106.37 / $17,649.70	Facility		$67.58	$106.37	$17,649.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $63.89 / $76.80	Professional		$61.44	$63.89	$76.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.58 / $96.92 / $375.40	Facility		$65.58	$96.92	$375.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $67.58 / $303.45	Professional		$61.44	$67.58	$303.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $61.44 / $125.84	Facility		$57.96	$61.44	$125.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $75.34	Professional		$61.44	$61.44	$75.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $67.81 / $214.72	Facility		$61.44	$67.81	$214.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $173.51	Professional		$61.44	$61.44	$173.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $69.21 / $82.94	Professional		$61.44	$69.21	$82.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $71.29 / $184.32	Facility		$61.44	$71.29	$184.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.42 / $104.78 / $184.86	Facility		$59.42	$104.78	$184.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $80.31 / $145.16	Professional		$70.20	$80.31	$145.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $80.26 / $143.85	Facility		$64.61	$80.26	$143.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $67.58 / $73.72	Professional		$61.44	$67.58	$73.72
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $73.73	Professional		$61.44	$61.44	$73.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $63.06	Professional		$61.44	$61.44	$63.06