Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.16 / $227.36 / $237.38	Facility		$100.16	$227.36	$237.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $100.16 / $295.00	Professional		$77.27	$100.16	$295.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $129.96 / $315.97 / $706.68	Facility		$129.96	$315.97	$706.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $126.16 / $910.65	Professional		$99.29	$126.16	$910.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $86.21	Professional		$62.93	$62.93	$86.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $151.38 / $394.68	Facility		$91.00	$151.38	$394.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $152.74 / $292.93	Professional		$91.68	$152.74	$292.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.39 / $113.77 / $125.14	Professional		$102.39	$113.77	$125.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.81 / $137.97 / $148.41	Facility		$117.81	$137.97	$148.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $148.41 / $148.41	Professional		$117.90	$148.41	$148.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.96 / $166.68 / $289.88	Facility		$129.96	$166.68	$289.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $90.64 / $90.64	Professional		$90.64	$90.64	$90.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.27 / $144.94 / $144.94	Facility		$141.27	$144.94	$144.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $126.16 / $163.26	Professional		$117.90	$126.16	$163.26
United Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $79.55 / $131.33	Professional		$63.64	$79.55	$131.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $62.45 / $84.03	Professional		$62.45	$62.45	$84.03