Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.93 / $161.29 / $232.00	Facility		$120.93	$161.29	$232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.11 / $120.55 / $225.85	Professional		$84.11	$120.55	$225.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.84 / $167.92 / $416.29	Facility		$114.84	$167.92	$416.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $215.04 / $778.20	Professional		$125.20	$215.04	$778.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $167.29 / $283.83	Professional		$97.94	$167.29	$283.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $86.04 / $181.48 / $285.00	Facility		$86.04	$181.48	$285.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $174.64 / $239.41	Professional		$83.54	$174.64	$239.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $107.39 / $180.63	Professional		$18.26	$107.39	$180.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.47 / $174.06 / $184.92	Facility		$135.47	$174.06	$184.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $165.60 / $253.00	Facility		$122.76	$165.60	$253.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $213.62 / $258.69	Professional		$140.72	$213.62	$258.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $115.64 / $137.81 / $226.24	Facility		$115.64	$137.81	$226.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $179.56 / $237.08	Professional		$125.20	$179.56	$237.08
United Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $175.86 / $263.58	Professional		$98.40	$175.86	$263.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $100.26 / $100.26	Professional		$100.26	$100.26	$100.26