Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $84.05 / $84.05	Facility		$72.19	$84.05	$84.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $69.22 / $85.73	Professional		$59.75	$69.22	$85.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $120.39 / $368.27	Facility		$100.57	$120.39	$368.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $158.63 / $611.85	Professional		$99.82	$158.63	$611.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.36 / $88.92 / $172.19	Facility		$66.36	$88.92	$172.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $88.92 / $159.12	Professional		$66.15	$88.92	$159.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $148.26 / $258.88	Professional		$27.52	$148.26	$258.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $145.81 / $150.96	Facility		$96.80	$145.81	$150.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.54 / $100.57 / $100.57	Facility		$100.54	$100.57	$100.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $155.78 / $199.56	Professional		$101.12	$155.78	$199.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $123.69 / $181.90	Professional		$100.95	$123.69	$181.90
United Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $121.55 / $209.53	Professional		$97.24	$121.55	$209.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $61.01 / $72.19	Professional		$61.01	$61.01	$72.19