Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $118.36 / $238.11	Facility		$100.47	$118.36	$238.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $95.82 / $148.80	Professional		$76.04	$95.82	$148.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $130.37 / $298.52 / $659.83	Facility		$130.37	$298.52	$659.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $130.29 / $736.96	Professional		$97.72	$130.29	$736.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $93.10	Professional		$67.88	$67.88	$93.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $79.62 / $148.88 / $361.87	Facility		$79.62	$148.88	$361.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $145.63 / $268.11	Professional		$79.70	$145.63	$268.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $114.14 / $125.55	Professional		$102.72	$114.14	$125.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.19 / $145.07 / $148.88	Facility		$118.19	$145.07	$148.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $148.88 / $148.88	Professional		$141.44	$148.88	$148.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.37 / $167.20 / $290.77	Facility		$130.37	$167.20	$290.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.71 / $145.38 / $145.38	Facility		$141.71	$145.38	$145.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $126.55 / $163.77	Professional		$118.28	$126.55	$163.77
United Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $63.27 / $120.51	Professional		$58.40	$63.27	$120.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $70.11 / $76.87	Professional		$70.11	$70.11	$76.87