Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.78 / $146.11 / $200.94	Facility		$106.78	$146.11	$200.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $90.23 / $122.46	Professional		$70.72	$90.23	$122.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $408.75 / $408.75	Facility		$127.29	$408.75	$408.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $140.40 / $709.95	Professional		$90.16	$140.40	$709.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $155.69 / $268.58	Professional		$88.25	$155.69	$268.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $68.83 / $92.59 / $179.88	Facility		$68.83	$92.59	$179.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $92.59 / $169.18	Professional		$70.42	$92.59	$169.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $144.85 / $260.78	Professional		$28.91	$144.85	$260.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.66 / $167.02 / $196.98	Facility		$114.66	$167.02	$196.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $127.29 / $127.29	Facility		$127.29	$127.29	$127.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $187.94 / $246.28	Professional		$116.13	$187.94	$246.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.42 / $354.42 / $543.76	Facility		$354.42	$354.42	$543.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $129.82 / $185.95	Professional		$112.91	$129.82	$185.95
United Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $180.70 / $269.39	Professional		$105.35	$180.70	$269.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $92.67 / $107.27	Professional		$84.75	$92.67	$107.27