Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $91.61 / $142.94	Professional		$69.09	$91.61	$142.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $401.17 / $401.17	Facility		$133.94	$401.17	$401.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $125.58 / $224.60 / $734.70	Professional		$125.58	$224.60	$734.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $96.04 / $130.01	Professional		$46.86	$96.04	$130.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.79 / $142.24 / $244.38	Facility		$88.79	$142.24	$244.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $144.96 / $246.96	Professional		$90.48	$144.96	$246.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $176.94 / $282.65	Professional		$30.10	$176.94	$282.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.50 / $188.90 / $190.95	Facility		$114.50	$188.90	$190.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $205.64 / $247.08	Professional		$125.98	$205.64	$247.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $167.58 / $203.56	Professional		$121.04	$167.58	$203.56
United Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $94.55 / $218.88	Professional		$57.74	$94.55	$218.88