Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.66 / $128.99 / $190.27	Facility		$93.66	$128.99	$190.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $180.44 / $282.72	Professional		$94.13	$180.44	$282.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $602.86 / $959.75 / $1,856.73	Facility		$602.86	$959.75	$1,856.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $131.30 / $2,708.00	Professional		$76.30	$131.30	$2,708.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $135.71 / $1,062.75	Facility		$69.59	$135.71	$1,062.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $121.36 / $287.26	Professional		$69.59	$121.36	$287.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $107.49 / $177.83	Professional		$17.59	$107.49	$177.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $107.54 / $243.66	Facility		$91.30	$107.54	$243.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $69.31 / $75.86	Facility		$69.31	$69.31	$75.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $120.22 / $150.58	Professional		$78.09	$120.22	$150.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.91 / $959.75 / $1,835.89	Facility		$630.91	$959.75	$1,835.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $106.51 / $146.99	Professional		$70.69	$106.51	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $111.40 / $169.05	Professional		$63.43	$111.40	$169.05