Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.93 / $106.93 / $426.86	Facility		$106.93	$106.93	$426.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $101.83 / $175.42	Professional		$83.34	$101.83	$175.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $123.67 / $740.25	Facility		$118.23	$123.67	$740.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.58 / $215.90 / $798.89	Professional		$120.58	$215.90	$798.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $184.33 / $278.64	Professional		$123.79	$184.33	$278.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.78 / $163.35 / $226.98	Facility		$57.78	$163.35	$226.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $163.35 / $234.03	Professional		$62.71	$163.35	$234.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $58.86 / $81.43	Professional		$9.72	$58.86	$81.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $31.70 / $160.22	Facility		$25.36	$31.70	$160.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $118.23 / $119.28	Facility		$118.23	$118.23	$119.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $198.96 / $244.64	Professional		$127.37	$198.96	$244.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.15 / $77.15 / $77.15	Facility		$77.15	$77.15	$77.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.58 / $171.58 / $231.12	Professional		$120.58	$171.58	$231.12
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $98.73 / $251.86	Professional		$89.75	$98.73	$251.86