Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $100.60 / $100.60	Facility		$100.60	$100.60	$100.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $97.97 / $166.23	Professional		$66.95	$97.97	$166.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.42 / $672.75 / $672.75	Facility		$112.42	$672.75	$672.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $196.14 / $857.73	Professional		$115.04	$196.14	$857.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $154.85 / $262.13	Professional		$87.77	$154.85	$262.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $86.18 / $176.09 / $231.67	Facility		$86.18	$176.09	$231.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.18 / $177.45 / $231.67	Professional		$86.18	$177.45	$231.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.80 / $80.03	Professional		$32.34	$55.80	$80.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.89 / $160.56 / $164.82	Facility		$114.89	$160.56	$164.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.42 / $112.42 / $112.80	Facility		$112.42	$112.42	$112.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $190.40 / $234.19	Professional		$128.53	$190.40	$234.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.84 / $74.84 / $74.84	Facility		$74.84	$74.84	$74.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $170.23 / $230.84	Professional		$115.04	$170.23	$230.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.17 / $465.12	Professional		$154.88	$190.17	$465.12