Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.45 / $123.56 / $337.57	Professional		$111.45	$123.56	$337.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $461.73 / $461.73	Facility		$141.68	$461.73	$461.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $289.47 / $902.78	Professional		$155.69	$289.47	$902.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.20 / $361.20 / $361.20	Professional		$361.20	$361.20	$361.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $80.00	Professional		$45.00	$50.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $201.14 / $210.38	Facility		$138.16	$201.14	$210.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $247.24 / $298.45	Professional		$156.16	$247.24	$298.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $185.38 / $260.62	Professional		$140.30	$185.38	$260.62
United Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $121.62 / $255.16	Professional		$121.62	$121.62	$255.16