Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.28 / $241.10 / $404.85	Facility		$176.28	$241.10	$404.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $158.37 / $314.39	Professional		$127.92	$158.37	$314.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $255.73 / $617.62 / $1,076.19	Facility		$255.73	$617.62	$1,076.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $166.22 / $304.02 / $1,146.08	Professional		$166.22	$304.02	$1,146.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $240.91 / $414.84	Professional		$146.85	$240.91	$414.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $230.57 / $379.30	Facility		$133.91	$230.57	$379.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $209.97 / $357.12	Professional		$129.85	$209.97	$357.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $211.01 / $371.79	Professional		$38.03	$211.01	$371.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.05 / $267.61 / $304.18	Facility		$218.05	$267.61	$304.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.18 / $186.18 / $187.37	Facility		$186.18	$186.18	$187.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.86 / $309.69 / $371.91	Professional		$192.86	$309.69	$371.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $889.49 / $1,701.50	Facility		$576.79	$889.49	$1,701.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $266.70 / $349.85	Professional		$189.88	$266.70	$349.85
United Facility/Professional Professional Modifier Low / Median / High Price $144.62 / $218.93 / $392.96	Professional		$144.62	$218.93	$392.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $142.32 / $142.32	Professional		$112.63	$142.32	$142.32