Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.25 / $115.84 / $206.24	Facility		$97.25	$115.84	$206.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $97.25 / $155.36	Professional		$53.17	$97.25	$155.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $249.77 / $249.77	Facility		$90.00	$249.77	$249.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $414.94 / $542.94	Professional		$88.35	$414.94	$542.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $121.85 / $208.90	Professional		$66.37	$121.85	$208.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.80 / $132.94 / $205.52	Facility		$72.80	$132.94	$205.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $128.31 / $208.53	Professional		$70.28	$128.31	$208.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $59.36 / $111.67	Professional		$37.28	$59.36	$111.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.13 / $147.61 / $172.19	Facility		$123.13	$147.61	$172.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $132.44 / $132.44	Professional		$132.44	$132.44	$132.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.63 / $112.35 / $184.06	Facility		$93.63	$112.35	$184.06
United Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $135.15 / $240.16	Professional		$92.03	$135.15	$240.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $61.84 / $81.50	Professional		$58.22	$61.84	$81.50