Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $173.27 / $180.90	Facility		$76.33	$173.27	$180.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $76.33 / $132.05	Professional		$62.14	$76.33	$132.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $99.04 / $235.05 / $539.41	Facility		$99.04	$235.05	$539.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $98.41 / $583.01	Professional		$80.51	$98.41	$583.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Facility		$64.66	$64.66	$64.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $47.20 / $73.30	Professional		$47.20	$47.20	$73.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $113.11 / $296.25	Facility		$65.06	$113.11	$296.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $114.35 / $220.11	Professional		$65.13	$114.35	$220.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $86.70 / $95.37	Professional		$78.03	$86.70	$95.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $110.46 / $117.07	Facility		$89.76	$110.46	$117.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $113.11 / $117.07	Professional		$101.80	$113.11	$117.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.04 / $127.03 / $220.92	Facility		$99.04	$127.03	$220.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $93.89 / $93.89	Professional		$93.89	$93.89	$93.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.66 / $110.46 / $110.46	Facility		$107.66	$110.46	$110.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $96.14 / $124.42	Professional		$89.84	$96.14	$124.42
United Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $51.71 / $98.50	Professional		$47.73	$51.71	$98.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $96.14 / $96.14	Professional		$62.92	$96.14	$96.14