Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.58 / $227.02 / $364.87	Facility		$185.58	$227.02	$364.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $128.16 / $256.75	Professional		$102.30	$128.16	$256.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $275.85 / $465.23 / $1,012.20	Facility		$275.85	$465.23	$1,012.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $260.43 / $1,044.15	Professional		$144.16	$260.43	$1,044.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $225.41 / $378.50	Professional		$120.72	$225.41	$378.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.04 / $186.71 / $338.53	Facility		$93.04	$186.71	$338.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $169.95 / $321.76	Professional		$98.67	$169.95	$321.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $125.22 / $288.31	Professional		$25.69	$125.22	$288.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.37 / $245.89 / $265.20	Facility		$166.37	$245.89	$265.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $167.72 / $176.67	Facility		$167.72	$167.72	$176.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.16 / $282.86 / $344.24	Professional		$176.16	$282.86	$344.24
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 $180.18 / $241.26 / $329.64	Professional		$180.18	$241.26	$329.64
United Facility/Professional Professional Modifier Low / Median / High Price $129.30 / $231.63 / $378.49	Professional		$129.30	$231.63	$378.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $129.13 / $145.76	Professional		$107.39	$129.13	$145.76