Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $218.06 / $227.66	Facility		$96.06	$218.06	$227.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $96.06 / $227.66	Professional		$76.54	$96.06	$227.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $129.43 / $281.48 / $705.18	Facility		$129.43	$281.48	$705.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $105.25 / $129.35 / $762.34	Professional		$105.25	$129.35	$762.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Facility		$98.15	$98.15	$98.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $98.15	Professional		$71.65	$71.65	$98.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $147.81 / $387.18	Facility		$85.08	$147.81	$387.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $149.54 / $287.14	Professional		$85.17	$149.54	$287.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $113.30 / $124.63	Professional		$101.97	$113.30	$124.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $144.35 / $153.08	Facility		$117.30	$144.35	$153.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $147.81 / $153.08	Professional		$133.03	$147.81	$153.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.43 / $166.00 / $288.70	Facility		$129.43	$166.00	$288.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $144.35 / $144.35	Facility		$140.69	$144.35	$144.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $125.64 / $162.59	Professional		$117.41	$125.64	$162.59
United Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $96.81 / $128.76	Professional		$66.06	$96.81	$128.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $134.13 / $134.13	Professional		$125.64	$134.13	$134.13