Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $181.01 / $188.98	Facility		$79.73	$181.01	$188.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $79.73 / $188.98	Professional		$68.54	$79.73	$188.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $103.46 / $245.75 / $563.71	Facility		$103.46	$245.75	$563.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $102.79 / $609.50	Professional		$84.14	$102.79	$609.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $81.30 / $81.30	Facility		$81.30	$81.30	$81.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $59.35 / $81.30	Professional		$59.35	$59.35	$81.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $125.16 / $310.31	Facility		$71.28	$125.16	$310.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $124.75 / $229.21	Professional		$72.00	$124.75	$229.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $118.15 / $118.15	Professional		$60.00	$118.15	$118.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.78 / $115.38 / $122.39	Facility		$93.78	$115.38	$122.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $118.15 / $122.39	Professional		$93.86	$118.15	$122.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.46 / $132.69 / $230.76	Facility		$103.46	$132.69	$230.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.07 / $98.07 / $98.07	Professional		$98.07	$98.07	$98.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.46 / $115.38 / $115.38	Facility		$112.46	$115.38	$115.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $100.43 / $129.97	Professional		$93.86	$100.43	$129.97
United Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $58.19 / $102.93	Professional		$49.88	$58.19	$102.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $55.99 / $100.43	Professional		$55.99	$55.99	$100.43