Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $149.99 / $245.79	Facility		$103.71	$149.99	$245.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $103.71 / $179.42	Professional		$89.10	$103.71	$179.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $134.57 / $319.58 / $734.34	Facility		$134.57	$319.58	$734.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $134.49 / $792.37	Professional		$109.41	$134.49	$792.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $99.65	Professional		$64.86	$64.86	$99.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $153.68 / $403.12	Facility		$88.27	$153.68	$403.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $155.13 / $298.72	Professional		$88.36	$155.13	$298.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $117.81 / $129.59	Professional		$106.02	$117.81	$129.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.99 / $150.08 / $159.11	Facility		$121.99	$150.08	$159.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $153.68 / $159.11	Professional		$138.31	$153.68	$159.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.57 / $172.59 / $300.16	Facility		$134.57	$172.59	$300.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $146.28 / $150.08 / $150.08	Facility		$146.28	$150.08	$150.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $130.63 / $169.05	Professional		$122.08	$130.63	$169.05
United Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $75.68 / $133.86	Professional		$64.87	$75.68	$133.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $83.16 / $84.87	Professional		$83.16	$83.16	$84.87