Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $467.10 / $984.00	Facility		$141.00	$467.10	$984.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $141.00 / $145.50	Professional		$94.50	$141.00	$145.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $240.00 / $619.71	Facility		$157.50	$240.00	$619.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $311.79 / $1,125.00	Professional		$148.29	$311.79	$1,125.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $318.85 / $387.32	Facility		$156.00	$318.85	$387.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $150.00 / $375.00	Facility		$135.00	$150.00	$375.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $150.00 / $375.00	Professional		$135.00	$150.00	$375.00
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 $135.00 / $165.00 / $262.50	Facility		$135.00	$165.00	$262.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $262.50 / $450.00	Facility		$150.00	$262.50	$450.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $187.50 / $226.50	Professional		$135.00	$187.50	$226.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $240.00 / $412.50	Facility		$157.50	$240.00	$412.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $291.60 / $349.07	Professional		$165.90	$291.60	$349.07
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $168.00	Professional		$63.00	$63.00	$168.00