Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $171.52 / $179.08	Facility		$75.56	$171.52	$179.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $75.56 / $179.08	Professional		$62.46	$75.56	$179.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $98.05 / $246.12 / $539.88	Facility		$98.05	$246.12	$539.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $98.05 / $676.08	Professional		$79.90	$98.05	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $75.47	Facility		$75.47	$75.47	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $75.47	Professional		$55.09	$55.09	$75.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $111.97 / $295.31	Facility		$65.06	$111.97	$295.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $114.21 / $219.28	Professional		$65.13	$114.21	$219.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $85.85 / $94.43	Professional		$77.26	$85.85	$94.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.89 / $109.35 / $111.97	Facility		$88.89	$109.35	$111.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $111.54 / $111.97	Professional		$88.96	$111.54	$111.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.05 / $125.75 / $218.70	Facility		$98.05	$125.75	$218.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $92.95 / $92.95	Professional		$92.95	$92.95	$92.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.58 / $109.35 / $109.35	Facility		$106.58	$109.35	$109.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $95.17 / $123.17	Professional		$88.96	$95.17	$123.17
United Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $51.60 / $98.29	Professional		$47.63	$51.60	$98.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $46.84 / $62.90	Professional		$46.84	$46.84	$62.90