Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.60 / $296.61 / $986.90	Facility		$105.60	$296.61	$986.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $112.92 / $211.20	Professional		$93.39	$112.92	$211.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $496.55 / $496.55	Facility		$142.69	$496.55	$496.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $245.70 / $1,846.00	Professional		$145.53	$245.70	$1,846.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.02 / $216.22 / $343.96	Professional		$134.02	$216.22	$343.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.44 / $207.27 / $290.52	Facility		$100.44	$207.27	$290.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $232.65 / $290.52	Professional		$100.44	$232.65	$290.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $156.63 / $261.47	Professional		$26.42	$156.63	$261.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.29 / $209.71 / $216.41	Facility		$157.29	$209.71	$216.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $142.69 / $147.61	Facility		$142.69	$142.69	$147.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.48 / $246.22 / $292.99	Professional		$165.48	$246.22	$292.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $145.53 / $145.53 / $145.53	Facility		$145.53	$145.53	$145.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $221.26 / $290.12	Professional		$145.53	$221.26	$290.12
United Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $139.40 / $292.66	Professional		$127.42	$139.40	$292.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $116.44 / $116.44	Professional		$116.44	$116.44	$116.44