Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.29 / $216.70 / $371.69	Facility		$155.29	$216.70	$371.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $148.72 / $216.70	Professional		$108.19	$148.72	$216.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $220.61 / $547.98 / $547.98	Facility		$220.61	$547.98	$547.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $232.90 / $1,041.92	Professional		$142.55	$232.90	$1,041.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $246.41 / $427.41	Professional		$140.30	$246.41	$427.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $113.58 / $158.40 / $311.27	Facility		$113.58	$158.40	$311.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.26 / $158.63 / $277.02	Professional		$113.26	$158.63	$277.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $242.00 / $432.62	Professional		$48.35	$242.00	$432.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.96 / $305.63 / $324.95	Facility		$192.96	$305.63	$324.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.61 / $220.61 / $220.61	Facility		$220.61	$220.61	$220.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $287.97 / $406.28	Professional		$186.51	$287.97	$406.28
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 $160.19 / $213.84 / $321.92	Professional		$160.19	$213.84	$321.92
United Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $289.68 / $466.35	Professional		$190.61	$289.68	$466.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $132.79 / $171.78	Professional		$117.60	$132.79	$171.78