Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.22 / $138.22 / $138.22	Facility		$138.22	$138.22	$138.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $129.78 / $149.34	Professional		$67.61	$129.78	$149.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $86.81 / $129.43 / $253.80	Facility		$86.81	$129.43	$253.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $184.16 / $700.38	Professional		$95.50	$184.16	$700.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $92.54 / $92.54	Professional		$92.54	$92.54	$92.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $92.40 / $160.24	Facility		$34.57	$92.40	$160.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Professional		$207.15	$207.15	$207.15
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 $64.50 / $90.97 / $117.92	Facility		$64.50	$90.97	$117.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $80.43 / $189.81	Facility		$80.43	$80.43	$189.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $167.18 / $235.88	Professional		$92.54	$167.18	$235.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $111.13 / $217.40	Facility		$81.31	$111.13	$217.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $131.47 / $216.55	Professional		$84.80	$131.47	$216.55
United Facility/Professional Facility Modifier Low / Median / High Price $112.47 / $147.78 / $1,367.00	Facility		$112.47	$147.78	$1,367.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $84.56 / $185.50	Professional		$65.59	$84.56	$185.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.78 / $188.78 / $188.78	Professional		$188.78	$188.78	$188.78