Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.60 / $189.23 / $254.74	Facility		$111.60	$189.23	$254.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $98.86 / $209.22	Professional		$79.95	$98.86	$209.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.79 / $180.42 / $387.55	Facility		$114.79	$180.42	$387.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $193.27 / $708.75	Professional		$113.08	$193.27	$708.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $153.32 / $266.50	Professional		$87.99	$153.32	$266.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.22 / $405.70 / $827.53	Facility		$234.22	$405.70	$827.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.45 / $242.45 / $260.76	Professional		$242.45	$242.45	$260.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.79 / $197.83 / $274.13	Professional		$149.79	$197.83	$274.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.69 / $176.88 / $183.58	Facility		$126.69	$176.88	$183.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.67 / $123.67 / $123.85	Facility		$123.67	$123.67	$123.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $185.64 / $234.63	Professional		$123.85	$185.64	$234.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.79 / $135.32 / $240.83	Facility		$114.79	$135.32	$240.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $156.34 / $224.93	Professional		$110.22	$156.34	$224.93
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $143.10 / $260.00	Professional		$87.98	$143.10	$260.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $89.58 / $95.89	Professional		$83.33	$89.58	$95.89