Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.75 / $365.75 / $365.75	Facility		$365.75	$365.75	$365.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $365.75 / $395.13	Professional		$104.71	$365.75	$395.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $267.83 / $467.77 / $467.77	Facility		$267.83	$467.77	$467.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $169.16 / $356.99 / $1,345.11	Professional		$169.16	$356.99	$1,345.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $162.47 / $162.47	Professional		$47.72	$162.47	$162.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.66 / $363.66 / $363.66	Professional		$363.66	$363.66	$363.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $116.58 / $155.44 / $207.03	Facility		$116.58	$155.44	$207.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $440.77	Facility		$127.50	$127.50	$440.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.54 / $282.69 / $763.71	Professional		$166.54	$282.69	$763.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $273.62 / $597.84	Professional		$171.00	$273.62	$597.84
United Facility/Professional Professional Modifier Low / Median / High Price $211.53 / $386.66 / $797.90	Professional		$211.53	$386.66	$797.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.41 / $198.41 / $198.41	Professional		$198.41	$198.41	$198.41