Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $96.01 / $96.01	Facility		$96.01	$96.01	$96.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $71.72 / $102.62	Professional		$48.03	$71.72	$102.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $194.60 / $268.23 / $524.74	Facility		$194.60	$268.23	$524.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $128.16 / $564.65	Professional		$62.84	$128.16	$564.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $96.75 / $96.75	Professional		$96.75	$96.75	$96.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $271.57 / $571.57	Facility		$102.53	$271.57	$571.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.85 / $186.85 / $186.85	Professional		$186.85	$186.85	$186.85
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 $70.09 / $94.17 / $123.28	Facility		$70.09	$94.17	$123.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.09 / $84.09 / $136.81	Facility		$84.09	$84.09	$136.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $138.97 / $204.59	Professional		$88.32	$138.97	$204.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $209.54 / $279.55 / $524.74	Facility		$209.54	$279.55	$524.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $121.97 / $172.77	Professional		$89.69	$121.97	$172.77
United Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $84.50 / $175.75	Professional		$58.80	$84.50	$175.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $46.26 / $46.26	Professional		$46.26	$46.26	$46.26