Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.12 / $121.50 / $235.93	Facility		$91.12	$121.50	$235.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $91.12 / $124.17	Professional		$69.42	$91.12	$124.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $150.72 / $363.31	Facility		$109.28	$150.72	$363.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $146.24 / $216.80	Professional		$103.61	$146.24	$216.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $166.10 / $218.30	Professional		$80.51	$166.10	$218.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $175.09 / $175.09 / $175.09	Facility		$175.09	$175.09	$175.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.09 / $175.09 / $175.09	Professional		$175.09	$175.09	$175.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $145.55 / $235.55	Professional		$27.61	$145.55	$235.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $157.19 / $174.76	Facility		$125.00	$157.19	$174.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.61 / $116.42 / $116.42	Facility		$103.61	$116.42	$116.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.56 / $172.45 / $216.80	Professional		$104.56	$172.45	$216.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $157.58 / $211.63	Professional		$117.71	$157.58	$211.63
United Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $123.84 / $226.70	Professional		$99.45	$123.84	$226.70