Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $190.20 / $198.58	Facility		$83.79	$190.20	$198.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $83.79 / $198.58	Professional		$71.98	$83.79	$198.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $258.11 / $592.25	Facility		$108.72	$258.11	$592.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $108.66 / $640.13	Professional		$88.39	$108.66	$640.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $70.98	Facility		$70.98	$70.98	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $51.82 / $70.98	Professional		$51.82	$51.82	$70.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $124.16 / $324.37	Facility		$48.67	$124.16	$324.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $124.16 / $240.80	Professional		$48.67	$124.16	$240.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $124.16 / $124.16	Professional		$60.00	$124.16	$124.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.55 / $121.25 / $128.54	Facility		$98.55	$121.25	$128.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $124.16 / $128.54	Professional		$111.74	$124.16	$128.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $139.44 / $242.50	Facility		$108.72	$139.44	$242.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $118.18 / $121.25 / $121.25	Facility		$118.18	$121.25	$121.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.62 / $105.54 / $136.58	Professional		$98.62	$105.54	$136.58
United Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $56.68 / $108.14	Professional		$52.40	$56.68	$108.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $27.59 / $105.54	Professional		$27.59	$27.59	$105.54