Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.97 / $141.97 / $141.97	Facility		$141.97	$141.97	$141.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $126.41 / $165.28	Professional		$95.68	$126.41	$165.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $710.32 / $818.13	Facility		$110.00	$710.32	$818.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $276.48 / $1,584.74	Professional		$162.16	$276.48	$1,584.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $224.37 / $364.02	Professional		$126.18	$224.37	$364.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.73 / $241.70 / $318.95	Facility		$118.73	$241.70	$318.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $233.35 / $318.95	Professional		$118.73	$233.35	$318.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $57.35 / $82.48	Professional		$24.88	$57.35	$82.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.37 / $219.55 / $233.83	Facility		$157.37	$219.55	$233.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $159.00 / $159.49	Facility		$159.00	$159.00	$159.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $267.08 / $322.36	Professional		$169.20	$267.08	$322.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $105.34 / $105.34 / $105.34	Facility		$105.34	$105.34	$105.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $229.43 / $309.04	Professional		$162.16	$229.43	$309.04
United Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $282.98 / $714.13	Professional		$260.14	$282.98	$714.13