Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.20 / $300.20 / $300.20	Facility		$300.20	$300.20	$300.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.93 / $235.00 / $300.20	Professional		$202.93	$235.00	$300.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $297.75 / $486.21 / $1,076.31	Facility		$297.75	$486.21	$1,076.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $500.46 / $2,034.38	Professional		$227.00	$500.46	$2,034.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.97 / $450.59 / $726.39	Professional		$247.97	$450.59	$726.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $355.88 / $618.25	Facility		$142.59	$355.88	$618.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $346.41 / $592.49	Professional		$202.43	$346.41	$592.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $388.85 / $465.86 / $473.69	Facility		$388.85	$465.86	$473.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.89 / $294.89 / $323.10	Facility		$294.89	$294.89	$323.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.63 / $520.82 / $641.32	Professional		$329.63	$520.82	$641.32
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 $300.76 / $434.54 / $577.67	Professional		$300.76	$434.54	$577.67
United Facility/Professional Professional Modifier Low / Median / High Price $223.76 / $347.21 / $640.15	Professional		$223.76	$347.21	$640.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.03 / $145.03 / $145.03	Professional		$145.03	$145.03	$145.03