Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $275.69 / $306.94	Facility		$64.59	$275.69	$306.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $64.59 / $153.10	Professional		$52.96	$64.59	$153.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.82 / $199.12 / $456.72	Facility		$83.82	$199.12	$456.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $83.28 / $493.67	Professional		$68.16	$83.28	$493.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $70.48	Facility		$70.48	$70.48	$70.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $70.48	Professional		$51.45	$51.45	$70.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $95.72 / $251.25	Facility		$49.61	$95.72	$251.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $95.72 / $186.18	Professional		$50.14	$95.72	$186.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $73.38 / $80.71	Professional		$66.04	$73.38	$80.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $93.48 / $99.13	Facility		$75.98	$93.48	$99.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $95.72 / $99.13	Professional		$90.93	$95.72	$99.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.82 / $107.50 / $186.96	Facility		$83.82	$107.50	$186.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $93.48	Professional		$79.45	$79.45	$93.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $93.48 / $93.48	Facility		$91.11	$93.48	$93.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $81.36 / $105.29	Professional		$76.04	$81.36	$105.29
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $45.49 / $83.39	Professional		$40.42	$45.49	$83.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $81.36	Professional		$30.18	$30.18	$81.36