Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.63 / $162.60 / $169.76	Facility		$71.63	$162.60	$169.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $71.63 / $169.76	Professional		$52.81	$71.63	$169.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $92.94 / $281.58 / $458.27	Facility		$92.94	$281.58	$458.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $90.23 / $890.19	Professional		$66.31	$90.23	$890.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $54.02	Facility		$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $72.95	Professional		$39.43	$39.43	$72.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $103.44 / $247.50	Facility		$54.60	$103.44	$247.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $101.69 / $182.87	Professional		$54.66	$101.69	$182.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $81.36 / $89.49	Professional		$73.22	$81.36	$89.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $95.54 / $106.15	Facility		$84.24	$95.54	$106.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $103.73 / $106.15	Professional		$94.30	$103.73	$106.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.94 / $119.21 / $207.32	Facility		$92.94	$119.21	$207.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $88.11 / $88.11	Professional		$88.11	$88.11	$88.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $103.66 / $103.66	Facility		$101.03	$103.66	$103.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $90.23 / $116.77	Professional		$84.31	$90.23	$116.77
United Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $138.31 / $138.31	Facility		$115.26	$138.31	$138.31
United Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $46.52 / $82.28	Professional		$39.88	$46.52	$82.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $51.98	Professional		$33.31	$33.31	$51.98