Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $148.66 / $251.46	Facility		$108.36	$148.66	$251.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $94.78 / $206.28	Professional		$77.08	$94.78	$206.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $157.74 / $379.97 / $571.58	Facility		$157.74	$379.97	$571.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $186.30 / $701.18	Professional		$106.68	$186.30	$701.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.24 / $150.72 / $254.01	Professional		$90.24	$150.72	$254.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $86.08 / $142.59 / $237.23	Facility		$86.08	$142.59	$237.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $132.09 / $230.66	Professional		$80.59	$132.09	$230.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $157.17 / $279.76	Professional		$28.84	$157.17	$279.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.88 / $164.47 / $192.47	Facility		$137.88	$164.47	$192.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.70 / $113.70 / $114.71	Facility		$113.70	$113.70	$114.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $190.99 / $228.59	Professional		$118.87	$190.99	$228.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $442.67 / $846.77	Facility		$287.05	$442.67	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $163.15 / $214.18	Professional		$115.96	$163.15	$214.18
United Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $140.22 / $242.35	Professional		$93.22	$140.22	$242.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $87.49 / $87.49	Professional		$69.29	$87.49	$87.49