Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $145.19 / $151.59	Facility		$63.96	$145.19	$151.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $63.96 / $151.59	Professional		$56.85	$63.96	$151.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $156.94 / $532.72	Facility		$52.39	$156.94	$532.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $82.60 / $379.38	Professional		$45.87	$82.60	$379.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Facility		$128.79	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $128.79	Professional		$94.02	$94.02	$128.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.26 / $206.93 / $544.11	Facility		$51.26	$206.93	$544.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $198.94 / $346.91	Professional		$51.26	$198.94	$346.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $146.01 / $160.61	Professional		$131.40	$146.01	$160.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $80.41 / $156.47	Facility		$53.96	$80.41	$156.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $151.31 / $151.31	Professional		$151.31	$151.31	$151.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $80.98 / $104.78	Facility		$44.53	$80.98	$104.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $80.38 / $156.53	Professional		$44.53	$80.38	$156.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $52.39 / $84.61	Facility		$52.39	$52.39	$84.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $46.41 / $151.31	Professional		$43.58	$46.41	$151.31
United Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $86.98 / $144.97	Professional		$81.88	$86.98	$144.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $111.80 / $111.80	Professional		$111.80	$111.80	$111.80