Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $152.22 / $244.14	Facility		$112.50	$152.22	$244.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $92.99 / $199.64	Professional		$79.44	$92.99	$199.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $530.40 / $530.40	Facility		$331.00	$530.40	$530.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $183.95 / $931.22	Professional		$117.78	$183.95	$931.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $148.61 / $260.20	Professional		$87.99	$148.61	$260.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.15 / $144.90 / $212.63	Facility		$82.15	$144.90	$212.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $137.00 / $214.30	Professional		$80.29	$137.00	$214.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $160.40 / $284.81	Professional		$29.02	$160.40	$284.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $171.52 / $174.89	Facility		$129.36	$171.52	$174.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $193.87 / $243.70	Professional		$122.30	$193.87	$243.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $170.56 / $221.85	Professional		$120.12	$170.56	$221.85
United Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $140.40 / $250.07	Professional		$88.61	$140.40	$250.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $91.43 / $91.43	Professional		$72.33	$91.43	$91.43