Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $187.01 / $276.08	Facility		$69.06	$187.01	$276.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $187.01 / $232.43	Professional		$33.17	$187.01	$232.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $174.12 / $567.23	Facility		$41.89	$174.12	$567.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $174.42 / $301.69 / $1,110.30	Professional		$174.42	$301.69	$1,110.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $212.94 / $398.49	Professional		$138.84	$212.94	$398.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $123.07 / $229.68 / $355.98	Facility		$123.07	$229.68	$355.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $254.47 / $396.16	Professional		$152.68	$254.47	$396.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $201.54 / $363.91	Professional		$36.19	$201.54	$363.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.44 / $239.19 / $255.27	Facility		$166.44	$239.19	$255.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.05 / $173.05 / $174.12	Facility		$173.05	$173.05	$174.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.12 / $291.42 / $345.61	Professional		$174.12	$291.42	$345.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $70.48 / $88.80	Facility		$58.88	$70.48	$88.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.42 / $239.53 / $337.38	Professional		$174.42	$239.53	$337.38
United Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $185.64 / $363.86	Professional		$140.16	$185.64	$363.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $146.29 / $146.29	Professional		$146.29	$146.29	$146.29