Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $189.82 / $370.57	Facility		$83.62	$189.82	$370.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $83.62 / $198.18	Professional		$66.63	$83.62	$198.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $245.02 / $613.91	Facility		$112.67	$245.02	$613.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $141.54 / $942.38	Professional		$94.11	$141.54	$942.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $104.66	Professional		$88.96	$88.96	$104.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.16 / $128.66 / $337.50	Facility		$74.16	$128.66	$337.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $130.35 / $250.73	Professional		$74.23	$130.35	$250.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $124.17 / $136.58	Professional		$109.12	$124.17	$136.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $128.66 / $135.10	Facility		$115.80	$128.66	$135.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $144.50 / $251.30	Facility		$112.67	$144.50	$251.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $122.47 / $125.65 / $125.65	Facility		$122.47	$125.65	$125.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $141.54 / $141.54	Professional		$93.93	$141.54	$141.54
United Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $88.14 / $112.10	Professional		$58.76	$88.14	$112.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $109.37 / $235.00	Professional		$109.37	$109.37	$235.00