Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.62 / $198.42 / $198.42	Facility		$154.62	$198.42	$198.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $157.72 / $198.42	Professional		$135.78	$157.72	$198.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $235.56 / $258.89 / $788.47	Facility		$235.56	$258.89	$788.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $216.62 / $352.92 / $1,314.15	Professional		$216.62	$352.92	$1,314.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $152.32 / $204.10 / $392.59	Facility		$152.32	$204.10	$392.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $204.10 / $360.63	Professional		$148.94	$204.10	$360.63
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 $208.41 / $312.63 / $352.92	Facility		$208.41	$312.63	$352.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.62 / $235.56 / $235.56	Facility		$216.62	$235.56	$235.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.97 / $344.60 / $433.49	Professional		$222.97	$344.60	$433.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $228.36 / $271.32 / $407.17	Professional		$228.36	$271.32	$407.17
United Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $286.20 / $459.57	Professional		$206.00	$286.20	$459.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $130.85 / $154.62	Professional		$130.85	$130.85	$154.62