Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $36.11 / $161.47	Facility		$18.05	$36.11	$161.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $71.13 / $215.00	Professional		$57.60	$71.13	$215.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $92.29 / $215.02 / $474.60	Facility		$92.29	$215.02	$474.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $90.64 / $521.73	Professional		$68.09	$90.64	$521.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $59.92 / $59.92	Facility		$38.20	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $68.80	Professional		$43.74	$43.74	$68.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $105.40 / $274.68	Facility		$40.04	$105.40	$274.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $105.40 / $203.56	Professional		$40.04	$105.40	$203.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $80.80 / $88.88	Professional		$72.72	$80.80	$88.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.65 / $95.90 / $105.40	Facility		$83.65	$95.90	$105.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $105.40 / $105.49	Professional		$94.86	$105.40	$105.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.29 / $118.37 / $205.86	Facility		$92.29	$118.37	$205.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $87.49 / $87.49	Professional		$83.68	$87.49	$87.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $102.93 / $102.93	Facility		$100.32	$102.93	$102.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $89.59 / $115.94	Professional		$83.73	$89.59	$115.94
United Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $47.84 / $91.27	Professional		$44.23	$47.84	$91.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $23.48 / $89.59	Professional		$23.48	$23.48	$89.59