Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $138.61 / $181.21	Facility		$76.45	$138.61	$181.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $67.97 / $104.17	Professional		$36.50	$67.97	$104.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $99.21 / $230.02 / $589.07	Facility		$99.21	$230.02	$589.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $99.21 / $736.54	Professional		$82.72	$99.21	$736.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $74.27	Facility		$70.80	$70.80	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $74.27	Professional		$51.68	$51.68	$74.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $71.43 / $120.73 / $262.26	Facility		$71.43	$120.73	$262.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $121.50 / $240.80	Professional		$71.51	$121.50	$240.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $86.86 / $95.54	Professional		$78.17	$86.86	$95.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.98 / $113.31 / $147.90	Facility		$101.98	$113.31	$147.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $90.01 / $90.01	Professional		$90.01	$90.01	$90.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.21 / $127.25 / $221.30	Facility		$99.21	$127.25	$221.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $94.05 / $94.05	Professional		$94.05	$94.05	$94.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.85 / $110.65 / $110.65	Facility		$107.85	$110.65	$110.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $96.31 / $124.64	Professional		$90.01	$96.31	$124.64
United Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $56.53 / $107.85	Professional		$52.27	$56.53	$107.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $96.31	Professional		$46.32	$46.32	$96.31