Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $156.88 / $198.12	Professional		$100.42	$156.88	$198.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $602.50 / $602.50	Facility		$388.77	$602.50	$602.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $358.36 / $1,083.90	Professional		$189.84	$358.36	$1,083.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $155.03 / $221.84	Professional		$78.53	$155.03	$221.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $163.68 / $297.89 / $446.79	Facility		$163.68	$297.89	$446.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.92 / $305.20 / $469.19	Professional		$181.92	$305.20	$469.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $263.04 / $457.87	Professional		$44.87	$263.04	$457.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $248.25 / $310.18 / $357.11	Facility		$248.25	$310.18	$357.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.65 / $310.97 / $416.91	Professional		$185.65	$310.97	$416.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $271.08 / $358.36	Professional		$181.10	$271.08	$358.36
United Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $118.92 / $332.98	Professional		$104.83	$118.92	$332.98