Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $150.32 / $717.19	Facility		$50.45	$150.32	$717.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $81.75 / $146.13	Professional		$29.74	$81.75	$146.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $171.33 / $269.77	Facility		$127.98	$171.33	$269.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $162.96 / $586.42	Professional		$47.58	$162.96	$586.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $87.71 / $234.24	Professional		$35.32	$87.71	$234.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $74.84 / $203.39	Facility		$33.93	$74.84	$203.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $74.84 / $203.39	Professional		$33.44	$74.84	$203.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $161.91 / $274.10	Professional		$27.57	$161.91	$274.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $153.27 / $166.83	Facility		$90.81	$153.27	$166.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.70 / $113.70 / $113.79	Facility		$113.70	$113.70	$113.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $108.94 / $217.17	Professional		$48.85	$108.94	$217.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $199.64 / $381.88	Facility		$129.44	$199.64	$381.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $98.57 / $187.50	Professional		$42.50	$98.57	$187.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $140.41 / $236.06	Professional		$88.43	$140.41	$236.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $67.91 / $93.75	Professional		$30.60	$67.91	$93.75