Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $122.62 / $412.14	Facility		$112.50	$122.62	$412.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $42.59 / $112.50	Professional		$33.10	$42.59	$112.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $208.22 / $567.02 / $1,085.27	Facility		$208.22	$567.02	$1,085.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $173.96 / $736.05	Professional		$86.27	$173.96	$736.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $87.04 / $245.30	Professional		$34.50	$87.04	$245.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $91.02 / $279.37	Facility		$46.68	$91.02	$279.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $91.02 / $226.38	Professional		$47.85	$91.02	$226.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $21.69 / $21.69	Professional		$21.69	$21.69	$21.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $163.84 / $171.52	Facility		$137.38	$163.84	$171.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.27 / $86.27 / $120.50	Facility		$86.27	$86.27	$120.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $163.86 / $214.45	Professional		$119.04	$163.86	$214.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $91.65 / $154.88	Professional		$78.00	$91.65	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $84.81 / $223.79	Professional		$38.09	$84.81	$223.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92