Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.24 / $149.24 / $149.24	Facility		$149.24	$149.24	$149.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $181.84 / $242.93	Professional		$149.24	$181.84	$242.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $313.77 / $952.86 / $952.86	Facility		$313.77	$952.86	$952.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $219.13 / $416.48 / $1,584.83	Professional		$219.13	$416.48	$1,584.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $176.16 / $314.52 / $475.05	Facility		$176.16	$314.52	$475.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.16 / $314.52 / $475.05	Professional		$176.16	$314.52	$475.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $266.85 / $483.08	Professional		$47.44	$266.85	$483.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.37 / $367.16 / $377.88	Facility		$308.37	$367.16	$377.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.79 / $425.34 / $511.60	Professional		$272.79	$425.34	$511.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.80 / $361.86 / $477.91	Professional		$257.80	$361.86	$477.91
United Facility/Professional Professional Modifier Low / Median / High Price $205.58 / $306.88 / $542.52	Professional		$205.58	$306.88	$542.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $155.69 / $155.69	Professional		$155.69	$155.69	$155.69