Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $176.71 / $276.10	Facility		$96.13	$176.71	$276.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $95.63 / $214.01	Professional		$70.30	$95.63	$214.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $151.29 / $383.01 / $383.01	Facility		$151.29	$383.01	$383.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $115.42 / $197.04 / $721.97	Professional		$115.42	$197.04	$721.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.16 / $163.83 / $275.27	Professional		$96.16	$163.83	$275.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $87.61 / $148.00 / $244.94	Facility		$87.61	$148.00	$244.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $143.75 / $243.63	Professional		$82.88	$143.75	$243.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $77.76 / $141.21	Professional		$48.60	$77.76	$141.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.93 / $197.15 / $203.01	Facility		$142.93	$197.15	$203.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $135.44 / $135.44	Facility		$131.35	$135.44	$135.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $196.85 / $261.91	Professional		$131.35	$196.85	$261.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $126.08 / $302.58 / $302.58	Facility		$126.08	$302.58	$302.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.42 / $168.44 / $234.52	Professional		$115.42	$168.44	$234.52
United Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $162.81 / $288.68	Professional		$106.83	$162.81	$288.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $88.51 / $109.82	Professional		$84.75	$88.51	$109.82