Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.82 / $138.52 / $138.52	Facility		$117.82	$138.52	$138.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $113.46 / $140.09	Professional		$97.31	$113.46	$140.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $197.09 / $601.19	Facility		$163.53	$197.09	$601.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $263.16 / $1,001.78	Professional		$162.44	$263.16	$1,001.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $145.19 / $280.08	Facility		$108.36	$145.19	$280.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $145.19 / $259.83	Professional		$108.36	$145.19	$259.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $197.81 / $342.88	Professional		$36.40	$197.81	$342.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $238.10 / $245.48	Facility		$158.72	$238.10	$245.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $163.53 / $164.98	Facility		$163.53	$163.53	$164.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.76 / $255.62 / $327.45	Professional		$167.76	$255.62	$327.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $205.20 / $300.95	Professional		$166.32	$205.20	$300.95
United Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $212.85 / $347.57	Professional		$159.72	$212.85	$347.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $99.66 / $117.82	Professional		$99.66	$99.66	$117.82