Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.62 / $92.62 / $92.62	Facility		$92.62	$92.62	$92.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $123.34 / $155.40	Professional		$84.13	$123.34	$155.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $437.21 / $437.21	Facility		$111.89	$437.21	$437.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $194.56 / $774.30	Professional		$114.11	$194.56	$774.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $188.10 / $317.26	Facility		$96.33	$188.10	$317.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $188.10 / $317.26	Professional		$103.88	$188.10	$317.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.51 / $107.61 / $177.03	Facility		$80.51	$107.61	$177.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $111.89 / $121.56	Facility		$111.89	$111.89	$121.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $193.87 / $241.29	Professional		$127.33	$193.87	$241.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $169.71 / $228.49	Professional		$114.11	$169.71	$228.49
United Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $118.91 / $233.82	Professional		$89.24	$118.91	$233.82