Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $269.38	Facility		$51.31	$51.31	$269.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $64.65	Professional		$51.31	$51.31	$64.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $76.97 / $243.72	Facility		$51.31	$76.97	$243.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $104.63 / $384.83	Professional		$48.74	$104.63	$384.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $83.38 / $150.08	Facility		$51.31	$83.38	$150.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $51.31 / $258.55	Facility		$46.18	$51.31	$258.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $51.31 / $128.28	Professional		$46.18	$51.31	$128.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $71.83	Facility		$51.31	$51.31	$71.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $51.31	Facility		$46.18	$46.18	$51.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $64.14 / $77.48	Professional		$46.18	$64.14	$77.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $82.10 / $141.10	Facility		$53.88	$82.10	$141.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $99.98 / $125.33	Professional		$56.75	$99.98	$125.33
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $21.55 / $57.47	Professional		$21.55	$21.55	$57.47