Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.58 / $85.82 / $85.82	Facility		$72.58	$85.82	$85.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $68.33 / $85.82	Professional		$59.10	$68.33	$85.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $122.25 / $378.53	Facility		$100.57	$122.25	$378.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $160.97 / $626.92	Professional		$99.90	$160.97	$626.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $87.04 / $166.87	Facility		$64.95	$87.04	$166.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $87.04 / $155.76	Professional		$64.95	$87.04	$155.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $99.31 / $173.59	Professional		$18.44	$99.31	$173.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $145.53 / $150.96	Facility		$97.58	$145.53	$150.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $100.57 / $101.45	Facility		$100.57	$100.57	$101.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.45 / $157.53 / $201.38	Professional		$103.45	$157.53	$201.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $126.54 / $184.26	Professional		$102.56	$126.54	$184.26
United Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $124.84 / $210.90	Professional		$94.83	$124.84	$210.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $61.29 / $72.58	Professional		$61.29	$61.29	$72.58