Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $189.33 / $311.76	Facility		$140.41	$189.33	$311.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.92 / $114.68 / $189.33	Professional		$94.92	$114.68	$189.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $146.77 / $479.89 / $627.41	Facility		$146.77	$479.89	$627.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $218.52 / $894.23	Professional		$125.48	$218.52	$894.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $193.62 / $317.92	Professional		$112.16	$193.62	$317.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $157.44 / $266.83	Facility		$93.69	$157.44	$266.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $152.08 / $262.30	Professional		$93.58	$152.08	$262.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $156.88 / $274.13	Professional		$28.08	$156.88	$274.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.34 / $207.75 / $222.36	Facility		$161.34	$207.75	$222.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.78 / $145.78 / $146.77	Facility		$145.78	$145.78	$146.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $240.20 / $289.36	Professional		$152.03	$240.20	$289.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $207.51 / $282.47	Professional		$149.69	$207.51	$282.47
United Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $210.03 / $315.89	Professional		$133.19	$210.03	$315.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $103.13 / $110.95	Professional		$87.51	$103.13	$110.95