Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.81 / $148.81 / $148.81	Facility		$148.81	$148.81	$148.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $129.02 / $148.81	Professional		$44.99	$129.02	$148.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $349.35 / $845.97 / $1,619.17	Facility		$349.35	$845.97	$1,619.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $229.71 / $1,033.75	Professional		$124.19	$229.71	$1,033.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $130.40 / $130.40	Professional		$130.40	$130.40	$130.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $752.74 / $828.07 / $2,311.56	Facility		$752.74	$828.07	$2,311.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.45 / $242.45 / $242.45	Professional		$242.45	$242.45	$242.45
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 $105.52 / $125.80 / $166.16	Facility		$105.52	$125.80	$166.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $151.30 / $151.30	Facility		$120.65	$151.30	$151.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $207.87 / $293.54	Professional		$146.43	$207.87	$293.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $617.65 / $846.46 / $1,619.17	Facility		$617.65	$846.46	$1,619.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.22 / $154.31 / $311.32	Professional		$126.22	$154.31	$311.32
United Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $255.79 / $433.92	Professional		$68.98	$255.79	$433.92