Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.63 / $341.95 / $357.02	Facility		$150.63	$341.95	$357.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $150.63 / $357.02	Professional		$78.05	$150.63	$357.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.83 / $506.36 / $1,249.08	Facility		$232.83	$506.36	$1,249.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $232.83 / $1,947.53	Professional		$220.72	$232.83	$1,947.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $158.69 / $293.67 / $503.35	Facility		$158.69	$293.67	$503.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $295.33 / $512.73	Professional		$158.72	$295.33	$512.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $224.22 / $224.22	Professional		$60.00	$224.22	$224.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $259.67 / $292.49	Facility		$211.06	$259.67	$292.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $232.35 / $265.89 / $292.49	Professional		$232.35	$265.89	$292.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.72 / $232.83 / $430.53	Facility		$220.72	$232.83	$430.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $259.67 / $298.62	Professional		$220.72	$259.67	$298.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.72 / $226.02 / $265.89	Professional		$214.72	$226.02	$265.89
United Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $161.76 / $215.13	Professional		$107.30	$161.76	$215.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $114.18 / $226.02	Professional		$114.18	$114.18	$226.02