Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.73 / $240.01 / $250.58	Facility		$105.73	$240.01	$250.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $105.73 / $250.58	Professional		$65.81	$105.73	$250.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $298.37 / $621.04	Facility		$137.19	$298.37	$621.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $133.18 / $775.57	Professional		$91.30	$133.18	$775.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $73.43	Professional		$53.60	$53.60	$73.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $148.85 / $335.62	Facility		$73.70	$148.85	$335.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $148.85 / $249.07	Professional		$73.79	$148.85	$249.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $120.10 / $132.11	Professional		$108.09	$120.10	$132.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $134.88 / $156.68	Facility		$114.76	$134.88	$156.68
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $156.68 / $156.68	Professional		$117.51	$156.68	$156.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $175.96 / $306.02	Facility		$137.19	$175.96	$306.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $149.13 / $153.01 / $153.01	Facility		$149.13	$153.01	$153.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $133.18 / $172.35	Professional		$124.46	$133.18	$172.35
United Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $58.63 / $111.85	Professional		$54.20	$58.63	$111.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $133.18	Professional		$39.54	$39.54	$133.18