Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $96.73 / $96.73	Facility		$96.73	$96.73	$96.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $96.73 / $107.63	Professional		$83.86	$96.73	$107.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $217.18 / $362.00 / $692.47	Facility		$217.18	$362.00	$692.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $217.62 / $747.45	Professional		$122.56	$217.62	$747.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $136.71 / $136.71	Professional		$136.71	$136.71	$136.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $343.92 / $997.62	Facility		$115.16	$343.92	$997.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.29 / $254.29 / $254.29	Professional		$254.29	$254.29	$254.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $50.00	Professional		$45.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $92.49 / $124.27 / $174.20	Facility		$92.49	$124.27	$174.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.59 / $119.59 / $131.62	Facility		$119.59	$119.59	$131.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $203.93 / $261.24	Professional		$135.47	$203.93	$261.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $264.14 / $362.00 / $692.47	Facility		$264.14	$362.00	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $164.16 / $218.28	Professional		$121.97	$164.16	$218.28
United Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $144.99 / $261.37	Professional		$105.60	$144.99	$261.37