Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.34 / $99.34 / $99.34	Facility		$99.34	$99.34	$99.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $99.34 / $108.20	Professional		$70.13	$99.34	$108.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $168.85 / $889.49 / $1,701.50	Facility		$168.85	$889.49	$1,701.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $130.91 / $460.50	Professional		$64.89	$130.91	$460.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.94 / $258.94 / $393.69	Facility		$258.94	$258.94	$393.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $202.10 / $279.11 / $962.54	Facility		$202.10	$279.11	$962.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $265.25 / $473.66	Professional		$183.90	$265.25	$473.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $212.01 / $299.92	Facility		$6.91	$212.01	$299.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.89 / $122.76 / $168.85	Facility		$64.89	$122.76	$168.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $107.13 / $157.88	Professional		$66.73	$107.13	$157.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $649.04 / $888.99 / $1,701.50	Facility		$649.04	$888.99	$1,701.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $108.20 / $185.80	Professional		$72.59	$108.20	$185.80
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $123.79 / $178.36	Professional		$32.47	$123.79	$178.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07