Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $122.03 / $185.02	Professional		$87.46	$122.03	$185.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $168.97 / $414.79	Facility		$168.97	$168.97	$414.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $272.50 / $801.18	Professional		$128.44	$272.50	$801.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $176.51 / $314.29	Professional		$102.17	$176.51	$314.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $168.48 / $289.91	Facility		$117.67	$168.48	$289.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $178.75 / $311.35	Professional		$120.54	$178.75	$311.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.05 / $208.82 / $366.00	Professional		$36.05	$208.82	$366.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $238.68 / $253.64	Facility		$141.47	$238.68	$253.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $168.97 / $168.97	Facility		$168.97	$168.97	$168.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $230.31 / $325.33	Professional		$144.60	$230.31	$325.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $185.29 / $291.02	Professional		$128.44	$185.29	$291.02
United Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $191.24 / $347.51	Professional		$135.32	$191.24	$347.51