Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.06 / $181.41 / $352.26	Facility		$136.06	$181.41	$352.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $136.06 / $196.63	Professional		$105.76	$136.06	$196.63
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $174.86 / $286.60 / $694.84	Facility		$174.86	$286.60	$694.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $176.79 / $280.25 / $415.45	Professional		$176.79	$280.25	$415.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.19 / $271.39 / $412.76	Professional		$120.19	$271.39	$412.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $259.02 / $259.02 / $259.02	Facility		$259.02	$259.02	$259.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $259.02 / $259.02	Professional		$259.02	$259.02	$259.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $242.59 / $390.93	Professional		$46.90	$242.59	$390.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.05 / $253.93 / $306.86	Facility		$186.05	$253.93	$306.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.86 / $174.86 / $198.54	Facility		$174.86	$174.86	$198.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.38 / $321.45 / $415.45	Professional		$200.38	$321.45	$415.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.79 / $299.93 / $405.56	Professional		$176.79	$299.93	$405.56
United Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $183.36 / $375.21	Professional		$148.47	$183.36	$375.21