Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $140.53 / $218.33	Professional		$138.66	$140.53	$218.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $817.40 / $1,039.28 / $1,039.28	Facility		$817.40	$1,039.28	$1,039.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $313.42 / $1,213.06	Professional		$138.66	$313.42	$1,213.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $171.52 / $232.09	Professional		$99.37	$171.52	$232.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $147.52 / $236.03 / $476.37	Facility		$147.52	$236.03	$476.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $272.79 / $476.37	Professional		$147.52	$272.79	$476.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $144.41 / $156.54	Professional		$75.00	$144.41	$156.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.52 / $147.52 / $235.75	Facility		$147.52	$147.52	$235.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $132.77 / $132.77	Professional		$132.77	$132.77	$132.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $261.99 / $313.42	Professional		$163.16	$261.99	$313.42
United Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $120.57 / $229.64	Professional		$88.51	$120.57	$229.64