Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $157.04 / $482.16	Facility		$69.18	$157.04	$482.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $69.18 / $163.96	Professional		$59.47	$69.18	$163.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $89.77 / $213.23 / $489.15	Facility		$89.77	$213.23	$489.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $89.19 / $528.83	Professional		$73.01	$89.19	$528.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $49.61 / $67.95	Professional		$49.61	$49.61	$67.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.15 / $102.52 / $268.12	Facility		$59.15	$102.52	$268.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $103.96 / $199.42	Professional		$59.21	$103.96	$199.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $78.59 / $86.44	Professional		$70.73	$78.59	$86.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.39 / $100.12 / $106.19	Facility		$81.39	$100.12	$106.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $102.52 / $106.19	Professional		$92.27	$102.52	$106.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.77 / $115.14 / $200.24	Facility		$89.77	$115.14	$200.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $85.10 / $85.10	Professional		$85.10	$85.10	$85.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $100.12 / $100.12	Facility		$97.58	$100.12	$100.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $87.14 / $112.77	Professional		$81.44	$87.14	$112.77
United Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $50.50 / $89.32	Professional		$43.28	$50.50	$89.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $22.90 / $56.66	Professional		$22.90	$22.90	$56.66