Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.03 / $166.03 / $166.03	Facility		$166.03	$166.03	$166.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $197.09 / $323.35	Professional		$166.03	$197.09	$323.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $339.71 / $1,047.39 / $1,047.39	Facility		$339.71	$1,047.39	$1,047.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $238.77 / $449.92 / $1,722.23	Professional		$238.77	$449.92	$1,722.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.73 / $325.45 / $492.77	Facility		$182.73	$325.45	$492.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $325.45 / $494.01	Professional		$182.73	$325.45	$494.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $322.56 / $582.23	Professional		$57.64	$322.56	$582.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $319.77 / $397.98 / $410.04	Facility		$319.77	$397.98	$410.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.19 / $463.39 / $559.30	Professional		$297.19	$463.39	$559.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $280.89 / $392.93 / $518.03	Professional		$280.89	$392.93	$518.03
United Facility/Professional Professional Modifier Low / Median / High Price $218.79 / $330.73 / $587.98	Professional		$218.79	$330.73	$587.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $170.05 / $170.05	Professional		$170.05	$170.05	$170.05