Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.57 / $119.65 / $278.77	Facility		$105.57	$119.65	$278.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $105.57 / $140.76	Professional		$72.06	$105.57	$140.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $242.22 / $588.88	Facility		$135.44	$242.22	$588.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $236.46 / $353.77	Professional		$136.94	$236.46	$353.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $210.02 / $351.15	Professional		$93.61	$210.02	$351.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $165.49 / $165.49 / $165.49	Facility		$165.49	$165.49	$165.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $165.49 / $165.49	Professional		$165.49	$165.49	$165.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $193.39 / $312.51	Professional		$36.63	$193.39	$312.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $200.33 / $255.65	Facility		$125.32	$200.33	$255.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $135.44 / $169.07	Facility		$135.44	$135.44	$169.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $275.32 / $353.77	Professional		$170.63	$275.32	$353.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $256.89 / $345.35	Professional		$136.94	$256.89	$345.35
United Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $143.04 / $311.44	Professional		$106.15	$143.04	$311.44