Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $96.91 / $154.44	Professional		$68.47	$96.91	$154.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $179.92 / $617.88	Facility		$114.61	$179.92	$617.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.89 / $216.54 / $741.83	Professional		$116.89	$216.54	$741.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $135.68 / $266.74	Professional		$78.65	$135.68	$266.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $116.50 / $221.88	Facility		$74.88	$116.50	$221.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $122.29 / $221.88	Professional		$77.12	$122.29	$221.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $88.50 / $221.89	Professional		$17.00	$88.50	$221.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $158.51 / $174.87	Facility		$98.49	$158.51	$174.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $114.61 / $114.61	Facility		$114.61	$114.61	$114.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.03 / $203.69 / $236.75	Professional		$134.03	$203.69	$236.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.89 / $169.77 / $215.27	Professional		$116.89	$169.77	$215.27
United Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $126.15 / $241.17	Professional		$63.31	$126.15	$241.17