Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $138.29 / $154.72	Facility		$60.92	$138.29	$154.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $60.92 / $144.38	Professional		$47.73	$60.92	$144.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $230.69 / $457.61	Facility		$79.05	$230.69	$457.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $79.05 / $499.37	Professional		$65.90	$79.05	$499.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $71.02	Facility		$71.02	$71.02	$71.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $71.02	Professional		$51.84	$51.84	$71.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $91.13 / $244.68	Facility		$53.69	$91.13	$244.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $92.09 / $181.22	Professional		$53.74	$92.09	$181.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $69.20 / $76.13	Professional		$62.28	$69.20	$76.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $85.23 / $90.28	Facility		$71.66	$85.23	$90.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $90.28 / $99.31	Professional		$81.25	$90.28	$99.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $101.38 / $176.32	Facility		$79.05	$101.38	$176.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $74.94 / $74.94	Professional		$74.94	$74.94	$74.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.93 / $88.16 / $88.16	Facility		$85.93	$88.16	$88.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.72 / $76.73 / $99.31	Professional		$71.72	$76.73	$99.31
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $42.59 / $81.12	Professional		$39.31	$42.59	$81.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $62.45 / $62.45	Professional		$51.74	$62.45	$62.45