Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $177.33 / $185.14	Facility		$78.12	$177.33	$185.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $78.12 / $185.14	Professional		$45.08	$78.12	$185.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $105.26 / $217.19 / $477.03	Facility		$105.26	$217.19	$477.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $102.18 / $629.15	Professional		$73.72	$102.18	$629.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $59.82	Facility		$59.82	$59.82	$59.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $43.67 / $59.82	Professional		$43.67	$43.67	$59.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $114.20 / $257.81	Facility		$56.87	$114.20	$257.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $114.20 / $191.15	Professional		$56.93	$114.20	$191.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $92.16 / $101.37	Professional		$82.94	$92.16	$101.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.05 / $108.19 / $120.21	Facility		$88.05	$108.19	$120.21
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $120.21 / $120.21	Professional		$90.16	$120.21	$120.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.26 / $135.01 / $234.80	Facility		$105.26	$135.01	$234.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $99.79 / $99.79	Professional		$99.79	$99.79	$99.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $117.40 / $117.40	Facility		$114.42	$117.40	$117.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.18 / $132.22	Professional		$95.50	$102.18	$132.22
United Facility/Professional Facility Modifier Low / Median / High Price $120.21 / $144.25 / $144.25	Facility		$120.21	$144.25	$144.25
United Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $67.76 / $85.82	Professional		$44.98	$67.76	$85.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $20.82 / $102.18	Professional		$20.82	$20.82	$102.18