Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $154.88 / $161.71	Facility		$68.23	$154.88	$161.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $68.23 / $161.71	Professional		$54.43	$68.23	$161.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $213.72 / $510.63	Facility		$88.54	$213.72	$510.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $88.54 / $673.20	Professional		$73.81	$88.54	$673.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $73.27	Facility		$73.27	$73.27	$73.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $53.49 / $73.27	Professional		$53.49	$53.49	$73.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.97 / $103.78 / $277.07	Facility		$60.97	$103.78	$277.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $103.78 / $206.04	Professional		$61.03	$103.78	$206.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $77.51 / $85.26	Professional		$69.75	$77.51	$85.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.26 / $97.19 / $101.11	Facility		$80.26	$97.19	$101.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $101.11 / $101.11	Professional		$91.00	$101.11	$101.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $113.55 / $197.48	Facility		$88.54	$113.55	$197.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Professional		$83.93	$83.93	$83.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.24 / $98.74 / $98.74	Facility		$96.24	$98.74	$98.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $85.94 / $111.22	Professional		$80.31	$85.94	$111.22
United Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $48.49 / $92.51	Professional		$44.83	$48.49	$92.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $49.96 / $58.90	Professional		$49.96	$49.96	$58.90