Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.97 / $222.39 / $232.19	Facility		$97.97	$222.39	$232.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $97.97 / $232.19	Professional		$83.14	$97.97	$232.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $315.18 / $757.74	Facility		$127.12	$315.18	$757.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $105.97 / $141.25 / $958.17	Professional		$105.97	$141.25	$958.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $100.43	Professional		$73.31	$73.31	$100.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.45 / $154.56 / $397.81	Facility		$91.45	$154.56	$397.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $155.25 / $307.83	Professional		$91.55	$155.25	$307.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $111.29 / $122.41	Professional		$100.16	$111.29	$122.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.24 / $141.77 / $148.47	Facility		$115.24	$141.77	$148.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $145.16 / $148.47	Professional		$123.39	$145.16	$148.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.12 / $163.04 / $283.54	Facility		$127.12	$163.04	$283.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.18 / $141.77 / $141.77	Facility		$138.18	$141.77	$141.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $123.39 / $159.69	Professional		$115.33	$123.39	$159.69
United Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $72.43 / $138.18	Professional		$66.97	$72.43	$138.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $57.24 / $85.01	Professional		$57.24	$57.24	$85.01