Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $176.67 / $251.35	Facility		$102.61	$176.67	$251.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $102.61 / $241.30	Professional		$80.29	$102.61	$241.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.08 / $159.28 / $372.39	Facility		$110.08	$159.28	$372.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $100.53 / $189.32 / $690.98	Professional		$100.53	$189.32	$690.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $154.88 / $236.66	Professional		$98.22	$154.88	$236.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $158.40 / $229.51	Facility		$89.28	$158.40	$229.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $146.63 / $229.51	Professional		$85.10	$146.63	$229.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $106.00 / $182.03	Professional		$17.98	$106.00	$182.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.35 / $159.47 / $173.24	Facility		$123.35	$159.47	$173.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.08 / $110.08 / $111.97	Facility		$110.08	$110.08	$111.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $189.63 / $229.64	Professional		$118.35	$189.63	$229.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $151.40 / $202.08	Professional		$95.82	$151.40	$202.08
United Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $157.86 / $235.57	Professional		$104.49	$157.86	$235.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $83.71 / $83.71	Professional		$78.98	$83.71	$83.71