Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.02 / $87.02 / $87.02	Facility		$87.02	$87.02	$87.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $99.48 / $131.93	Professional		$85.42	$99.48	$131.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $179.96 / $530.37 / $530.37	Facility		$179.96	$530.37	$530.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $226.74 / $880.95	Professional		$126.03	$226.74	$880.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $92.85	Professional		$92.85	$92.85	$92.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $153.50 / $257.61	Facility		$95.17	$153.50	$257.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $150.61 / $257.61	Professional		$92.12	$150.61	$257.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $158.74 / $282.65	Professional		$28.84	$158.74	$282.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $149.44 / $203.68 / $209.71	Facility		$149.44	$203.68	$209.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $140.43 / $143.04	Facility		$140.43	$140.43	$143.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $231.97 / $284.70	Professional		$149.69	$231.97	$284.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $195.60 / $265.12	Professional		$143.22	$195.60	$265.12
United Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $164.70 / $299.30	Professional		$111.48	$164.70	$299.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $86.13 / $111.79	Professional		$86.13	$86.13	$111.79