Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.83 / $89.92 / $201.96	Facility		$43.83	$89.92	$201.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $60.49 / $151.60	Professional		$30.46	$60.49	$151.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $230.91 / $1,185.84 / $2,052.58	Facility		$230.91	$1,185.84	$2,052.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $180.40 / $700.97	Professional		$49.26	$180.40	$700.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $89.82 / $366.92	Professional		$39.06	$89.82	$366.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $87.46 / $498.53	Facility		$46.11	$87.46	$498.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $81.20 / $178.34	Professional		$44.14	$81.20	$178.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $217.29 / $364.69	Professional		$36.40	$217.29	$364.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.19 / $146.06 / $275.37	Facility		$59.19	$146.06	$275.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.46 / $130.46 / $187.83	Facility		$130.46	$130.46	$187.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $119.42 / $318.11	Professional		$56.48	$119.42	$318.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $984.95 / $1,518.05 / $2,905.51	Facility		$984.95	$1,518.05	$2,905.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $104.70 / $278.05	Professional		$52.97	$104.70	$278.05
United Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $127.92 / $323.44	Professional		$73.80	$127.92	$323.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $33.18 / $145.65	Professional		$33.18	$33.18	$145.65