Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.87 / $482.57 / $763.98	Facility		$150.87	$482.57	$763.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $74.90 / $103.79	Professional		$56.71	$74.90	$103.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.35 / $171.20 / $442.06	Facility		$112.35	$171.20	$442.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $222.13 / $802.50	Professional		$107.00	$222.13	$802.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.28 / $227.45 / $276.29	Facility		$111.28	$227.45	$276.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.30 / $107.00 / $181.90	Facility		$96.30	$107.00	$181.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $107.00 / $267.50	Professional		$96.30	$107.00	$267.50
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 $96.30 / $117.70 / $187.25	Facility		$96.30	$117.70	$187.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $187.25 / $331.70	Facility		$107.00	$187.25	$331.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $133.75 / $161.57	Professional		$96.30	$133.75	$161.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.35 / $171.20 / $294.25	Facility		$112.35	$171.20	$294.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $208.10 / $248.45	Professional		$118.34	$208.10	$248.45
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $119.84	Professional		$44.94	$44.94	$119.84