Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $130.72 / $136.49	Facility		$57.59	$130.72	$136.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $57.59 / $136.49	Professional		$45.88	$57.59	$136.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $168.75 / $423.35	Facility		$77.59	$168.75	$423.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $77.09 / $456.96	Professional		$63.07	$77.09	$456.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $50.66	Facility		$50.66	$50.66	$50.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $50.66	Professional		$36.97	$36.97	$50.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.96 / $88.62 / $231.56	Facility		$50.96	$88.62	$231.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $89.56 / $171.29	Professional		$51.01	$89.56	$171.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $67.93 / $74.72	Professional		$61.13	$67.93	$74.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $86.54 / $91.76	Facility		$70.34	$86.54	$91.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $88.62 / $91.76	Professional		$79.76	$88.62	$91.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $99.52 / $173.08	Facility		$77.59	$99.52	$173.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $73.56 / $87.37	Professional		$73.56	$73.56	$87.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $86.54 / $86.54	Facility		$84.35	$86.54	$86.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $75.33 / $97.48	Professional		$70.39	$75.33	$97.48
United Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $60.92 / $77.17	Professional		$40.45	$60.92	$77.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $47.75 / $75.33	Professional		$47.75	$47.75	$75.33