Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $58.30 / $58.30	Facility		$58.30	$58.30	$58.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $57.77 / $58.30	Professional		$53.00	$57.77	$58.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $969.00 / $1,140.00	Facility		$53.00	$969.00	$1,140.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $1,288.20	Professional		$53.00	$53.00	$1,288.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $198.22	Facility		$50.00	$50.00	$198.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $65.00	Professional		$53.00	$53.00	$65.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $71.55	Facility		$53.00	$53.00	$71.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $71.55	Professional		$53.00	$53.00	$71.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $75.00 / $75.00	Professional		$50.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $55.00 / $285.95	Facility		$53.00	$55.00	$285.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $946.20 / $946.20	Facility		$116.18	$946.20	$946.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $94.39 / $148.85	Professional		$83.50	$94.39	$148.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $53.00 / $53.00	Professional		$50.35	$53.00	$53.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $63.60	Professional		$53.00	$53.00	$63.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $76.97	Professional		$53.00	$53.00	$76.97