Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $120.30 / $124.56	Professional		$109.50	$120.30	$124.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $156.10 / $556.67 / $556.67	Facility		$156.10	$556.67	$556.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $247.63 / $957.98	Professional		$109.50	$247.63	$957.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $135.63 / $183.12	Professional		$78.45	$135.63	$183.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $116.49 / $186.38 / $376.83	Facility		$116.49	$186.38	$376.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $215.25 / $376.83	Professional		$116.49	$215.25	$376.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $114.04 / $123.61	Professional		$75.00	$114.04	$123.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $116.49 / $116.49 / $189.63	Facility		$116.49	$116.49	$189.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $104.84 / $104.84	Professional		$104.84	$104.84	$104.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $207.26 / $247.63	Professional		$116.49	$207.26	$247.63
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $95.21 / $240.04	Professional		$69.89	$95.21	$240.04