Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Facility		$74.09	$74.09	$74.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $64.65 / $80.73	Professional		$61.60	$64.65	$80.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $275.85 / $414.92 / $846.77	Facility		$275.85	$414.92	$846.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $150.88 / $615.83	Professional		$91.51	$150.88	$615.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $112.52 / $112.52	Professional		$112.52	$112.52	$112.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $395.70 / $685.41	Facility		$142.59	$395.70	$685.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.05 / $209.05 / $209.05	Professional		$209.05	$209.05	$209.05
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 $113.10 / $140.16 / $151.96	Facility		$113.10	$140.16	$151.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.51 / $91.51 / $97.80	Facility		$91.51	$91.51	$97.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $153.69 / $194.12	Professional		$98.58	$153.69	$194.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.01 / $442.67 / $846.77	Facility		$323.01	$442.67	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $131.29 / $182.60	Professional		$93.32	$131.29	$182.60
United Facility/Professional Professional Modifier Low / Median / High Price $84.84 / $122.21 / $203.21	Professional		$84.84	$122.21	$203.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $104.97 / $104.97	Professional		$104.97	$104.97	$104.97