Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $203.99 / $322.67	Facility		$129.18	$203.99	$322.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $119.19 / $294.52	Professional		$92.96	$119.19	$294.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $214.51 / $519.25 / $519.25	Facility		$214.51	$519.25	$519.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $244.09 / $1,082.00	Professional		$149.56	$244.09	$1,082.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $207.77 / $343.63	Professional		$121.09	$207.77	$343.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $199.26 / $283.76	Facility		$108.50	$199.26	$283.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $195.80 / $291.51	Professional		$108.50	$195.80	$291.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $156.80 / $288.69	Professional		$29.04	$156.80	$288.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.01 / $225.17 / $231.82	Facility		$171.01	$225.17	$231.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $258.91 / $312.95	Professional		$168.85	$258.91	$312.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $220.44 / $294.39	Professional		$158.47	$220.44	$294.39
United Facility/Professional Professional Modifier Low / Median / High Price $125.02 / $178.53 / $334.02	Professional		$125.02	$178.53	$334.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $119.72 / $119.72	Professional		$94.69	$119.72	$119.72