Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $100.50 / $117.82	Facility		$100.50	$100.50	$117.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $121.29 / $163.22	Professional		$97.92	$121.29	$163.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $197.09 / $601.19	Facility		$163.53	$197.09	$601.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $260.86 / $1,001.78	Professional		$160.16	$260.86	$1,001.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.52 / $144.07 / $278.56	Facility		$107.52	$144.07	$278.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $144.07 / $257.81	Professional		$107.52	$144.07	$257.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $197.81 / $342.88	Professional		$36.40	$197.81	$342.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $163.53 / $164.98	Facility		$163.53	$163.53	$164.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.76 / $255.62 / $327.45	Professional		$167.76	$255.62	$327.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $205.20 / $300.95	Professional		$166.32	$205.20	$300.95
United Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $211.12 / $347.57	Professional		$157.41	$211.12	$347.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $99.66 / $117.82	Professional		$99.66	$99.66	$117.82