Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $206.80 / $555.54	Facility		$34.67	$206.80	$555.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $124.10 / $279.93	Professional		$22.69	$124.10	$279.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $279.42 / $823.67 / $1,296.95	Facility		$279.42	$823.67	$1,296.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $307.39 / $1,264.84	Professional		$37.17	$307.39	$1,264.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $150.88 / $477.96	Professional		$30.42	$150.88	$477.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $183.52 / $489.88	Facility		$26.66	$183.52	$489.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $144.19 / $473.48	Professional		$26.28	$144.19	$473.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $216.86 / $370.17	Professional		$36.60	$216.86	$370.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.09 / $299.08 / $384.20	Facility		$150.09	$299.08	$384.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.90 / $218.90 / $266.82	Facility		$218.90	$218.90	$266.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $188.15 / $456.01	Professional		$36.97	$188.15	$456.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.91 / $959.75 / $1,835.89	Facility		$630.91	$959.75	$1,835.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $90.01 / $421.29	Professional		$36.50	$90.01	$421.29
United Facility/Professional Professional Modifier Low / Median / High Price $192.28 / $307.39 / $549.38	Professional		$192.28	$307.39	$549.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $125.61 / $176.49	Professional		$20.21	$125.61	$176.49