Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $215.20 / $224.68	Facility		$94.80	$215.20	$224.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $94.80 / $224.68	Professional		$78.67	$94.80	$224.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $364.93 / $757.36	Facility		$123.01	$364.93	$757.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $133.93 / $899.09	Professional		$101.51	$133.93	$899.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $89.11	Facility		$89.11	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $91.08	Professional		$65.05	$65.05	$91.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $149.18 / $384.97	Facility		$88.27	$149.18	$384.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $150.19 / $297.89	Professional		$88.36	$150.19	$297.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $107.69 / $118.45	Professional		$96.92	$107.69	$118.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $137.19 / $140.49	Facility		$111.51	$137.19	$140.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $140.49 / $154.54	Professional		$126.44	$140.49	$154.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $157.77 / $274.38	Facility		$123.01	$157.77	$274.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.71 / $137.19 / $137.19	Facility		$133.71	$137.19	$137.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $119.42 / $154.54	Professional		$111.60	$119.42	$154.54
United Facility/Professional Professional Modifier Low / Median / High Price $65.97 / $75.59 / $133.71	Professional		$65.97	$75.59	$133.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $84.31 / $84.31	Professional		$83.85	$84.31	$84.31