Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $139.41 / $139.41	Facility		$139.41	$139.41	$139.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.33 / $122.60 / $164.66	Professional		$97.33	$122.60	$164.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $274.00 / $529.82	Facility		$100.00	$274.00	$529.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $289.38 / $998.55	Professional		$161.69	$289.38	$998.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $222.82 / $359.21	Professional		$126.33	$222.82	$359.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $181.48 / $297.89	Facility		$96.48	$181.48	$297.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $183.31 / $301.23	Professional		$97.20	$183.31	$301.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $114.83 / $168.04	Professional		$21.43	$114.83	$168.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.08 / $60.88 / $217.89	Facility		$50.08	$60.88	$217.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.55 / $158.55 / $159.94	Facility		$158.55	$158.55	$159.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $267.83 / $323.27	Professional		$169.07	$267.83	$323.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $74.38 / $74.38	Facility		$74.38	$74.38	$74.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $230.09 / $308.32	Professional		$161.69	$230.09	$308.32
United Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $138.79 / $366.32	Professional		$134.16	$138.79	$366.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $69.25 / $69.25	Professional		$69.25	$69.25	$69.25