Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $152.88 / $212.23	Professional		$64.95	$152.88	$212.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $404.00 / $611.58 / $611.58	Facility		$404.00	$611.58	$611.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $135.34 / $336.41 / $1,173.23	Professional		$135.34	$336.41	$1,173.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $140.66 / $183.45	Professional		$41.19	$140.66	$183.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $163.95 / $453.75	Facility		$91.76	$163.95	$453.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $178.26 / $366.87	Professional		$109.29	$178.26	$366.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $138.25 / $315.18	Professional		$28.19	$138.25	$315.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.82 / $252.59 / $274.70	Facility		$140.82	$252.59	$274.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $317.10 / $381.14	Professional		$185.73	$317.10	$381.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $259.54 / $334.03	Professional		$151.63	$259.54	$334.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $84.38 / $277.58	Professional		$81.64	$84.38	$277.58