Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.97 / $183.01 / $233.19	Facility		$133.97	$183.01	$233.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $112.46 / $163.97	Professional		$96.31	$112.46	$163.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $84.60 / $119.89 / $476.85	Facility		$84.60	$119.89	$476.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $213.45 / $880.80	Professional		$122.92	$213.45	$880.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $187.67 / $313.37	Professional		$112.11	$187.67	$313.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $87.36 / $153.06 / $266.68	Facility		$87.36	$153.06	$266.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $151.19 / $259.25	Professional		$92.12	$151.19	$259.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $159.04 / $275.61	Professional		$27.84	$159.04	$275.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $206.28 / $212.84	Facility		$137.72	$206.28	$212.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.79 / $141.79 / $143.04	Facility		$141.79	$141.79	$143.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.76 / $233.47 / $284.14	Professional		$147.76	$233.47	$284.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $108.15 / $204.42	Facility		$81.63	$108.15	$204.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $203.60 / $271.06	Professional		$144.61	$203.60	$271.06
United Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $206.98 / $315.26	Professional		$132.32	$206.98	$315.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $102.63 / $111.07	Professional		$86.96	$102.63	$111.07