Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.06 / $213.22 / $213.22	Facility		$169.06	$213.22	$213.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $213.22 / $259.36	Professional		$166.41	$213.22	$259.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $236.73 / $892.39 / $892.39	Facility		$236.73	$892.39	$892.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $246.71 / $401.76 / $1,510.35	Professional		$246.71	$401.76	$1,510.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $178.87 / $379.55 / $549.14	Facility		$178.87	$379.55	$549.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.74 / $410.83 / $549.14	Professional		$202.74	$410.83	$549.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $264.49 / $449.94	Professional		$44.88	$264.49	$449.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.63 / $331.83 / $381.23	Facility		$276.63	$331.83	$381.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.73 / $236.73 / $241.90	Facility		$236.73	$236.73	$241.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $400.93 / $485.52	Professional		$272.18	$400.93	$485.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $246.71 / $347.10 / $465.27	Professional		$246.71	$347.10	$465.27
United Facility/Professional Professional Modifier Low / Median / High Price $203.82 / $245.86 / $481.37	Professional		$203.82	$245.86	$481.37