Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $136.86 / $142.88	Facility		$60.29	$136.86	$142.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $60.29 / $104.30	Professional		$46.06	$60.29	$104.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78.23 / $188.91 / $432.48	Facility		$78.23	$188.91	$432.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $76.83 / $463.22	Professional		$60.00	$76.83	$463.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $64.81	Facility		$56.56	$56.56	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $41.29 / $64.81	Professional		$41.29	$41.29	$64.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.32 / $89.34 / $237.18	Facility		$52.32	$89.34	$237.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $91.13 / $176.25	Professional		$52.38	$91.13	$176.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $89.34 / $89.34	Professional		$60.00	$89.34	$89.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.91 / $87.25 / $92.45	Facility		$70.91	$87.25	$92.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $89.34 / $92.45	Professional		$80.41	$89.34	$92.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.23 / $100.34 / $174.50	Facility		$78.23	$100.34	$174.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $74.16 / $87.25	Professional		$74.16	$74.16	$87.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.04 / $87.25 / $87.25	Facility		$85.04	$87.25	$87.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $75.94 / $98.27	Professional		$70.97	$75.94	$98.27
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $44.67 / $79.01	Professional		$38.97	$44.67	$79.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $49.14 / $49.41	Professional		$49.14	$49.14	$49.41