Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.41 / $69.80 / $165.43	Facility		$68.41	$69.80	$165.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $69.80 / $165.43	Professional		$62.04	$69.80	$165.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $207.42 / $580.79	Facility		$57.10	$207.42	$580.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $82.39 / $886.50	Professional		$45.00	$82.39	$886.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $146.63	Professional		$38.08	$38.08	$146.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $58.82 / $273.51	Facility		$55.88	$58.82	$273.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $58.82 / $221.44	Professional		$55.88	$58.82	$221.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $56.76 / $62.43	Professional		$49.59	$56.76	$62.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $87.65 / $170.81	Facility		$58.82	$87.65	$170.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $88.38 / $147.74	Facility		$79.94	$88.38	$147.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $48.54 / $48.54	Professional		$48.54	$48.54	$48.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $57.10 / $92.34	Facility		$57.10	$57.10	$92.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $50.00 / $88.38	Professional		$47.50	$50.00	$88.38
United Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $95.03 / $158.38	Professional		$92.34	$95.03	$158.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $36.47 / $39.00	Professional		$36.47	$36.47	$39.00