Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.63 / $212.64 / $713.70	Facility		$212.63	$212.64	$713.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $150.00 / $216.85	Professional		$108.35	$150.00	$216.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $502.38 / $776.36 / $1,701.50	Facility		$502.38	$776.36	$1,701.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $115.27 / $230.87 / $937.35	Professional		$115.27	$230.87	$937.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $219.06 / $372.37	Facility		$126.00	$219.06	$372.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $194.04 / $333.00	Professional		$116.25	$194.04	$333.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.38 / $82.97 / $91.72	Facility		$69.38	$82.97	$91.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.15 / $147.15 / $210.19	Facility		$147.15	$147.15	$210.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.56 / $245.46 / $330.60	Professional		$154.56	$245.46	$330.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $531.22 / $869.76 / $1,701.50	Facility		$531.22	$869.76	$1,701.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $206.60 / $309.72	Professional		$161.24	$206.60	$309.72
United Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $245.88 / $452.95	Professional		$158.71	$245.88	$452.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $171.58 / $171.58	Professional		$91.72	$171.58	$171.58