Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $162.88 / $162.88	Facility		$162.88	$162.88	$162.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $144.22 / $188.35	Professional		$108.29	$144.22	$188.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $124.00 / $292.00 / $605.54	Facility		$124.00	$292.00	$605.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $321.08 / $1,155.59	Professional		$184.80	$321.08	$1,155.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $255.11 / $407.61	Professional		$144.69	$255.11	$407.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $194.04 / $356.08	Facility		$59.04	$194.04	$356.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $207.03 / $356.08	Professional		$59.04	$207.03	$356.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $56.85 / $82.48	Professional		$20.75	$56.85	$82.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $35.04 / $40.61	Facility		$30.48	$35.04	$40.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.97 / $180.97 / $181.20	Facility		$180.97	$180.97	$181.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.16 / $304.36 / $367.36	Professional		$193.16	$304.36	$367.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $260.33 / $350.66	Professional		$184.80	$260.33	$350.66
United Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $155.05 / $397.84	Professional		$144.61	$155.05	$397.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $42.51 / $42.51	Professional		$42.51	$42.51	$42.51