Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.61 / $192.20 / $647.32	Facility		$69.61	$192.20	$647.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $72.97 / $134.44	Professional		$62.28	$72.97	$134.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $370.00 / $370.00	Facility		$94.22	$370.00	$370.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $161.68 / $1,410.00	Professional		$96.10	$161.68	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $142.59 / $224.84	Professional		$86.48	$142.59	$224.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.02 / $137.52 / $192.79	Facility		$66.02	$137.52	$192.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $155.10 / $192.79	Professional		$66.65	$155.10	$192.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $105.19 / $174.58	Professional		$18.01	$105.19	$174.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.65 / $139.51 / $144.72	Facility		$104.65	$139.51	$144.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $94.22 / $96.43	Facility		$94.22	$94.22	$96.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $160.85 / $192.82	Professional		$108.26	$160.85	$192.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $96.10	Facility		$96.10	$96.10	$96.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $144.54 / $189.52	Professional		$96.10	$144.54	$189.52
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $92.19 / $181.89	Professional		$84.33	$92.19	$181.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $75.51 / $75.51	Professional		$75.51	$75.51	$75.51