Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $95.95 / $95.95	Facility		$95.95	$95.95	$95.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $87.21 / $107.32	Professional		$71.15	$87.21	$107.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.05 / $449.39 / $449.39	Facility		$152.05	$449.39	$449.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $211.02 / $745.35	Professional		$123.35	$211.02	$745.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Professional		$79.45	$79.45	$79.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $161.78 / $231.57	Facility		$83.70	$161.78	$231.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $151.22 / $231.57	Professional		$82.29	$151.22	$231.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $108.13 / $185.83	Professional		$18.07	$108.13	$185.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.85 / $173.15 / $178.89	Facility		$129.85	$173.15	$178.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $203.53 / $248.98	Professional		$130.30	$203.53	$248.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $173.67 / $231.22	Professional		$123.35	$173.67	$231.22
United Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $145.76 / $258.38	Professional		$95.64	$145.76	$258.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $73.70 / $88.60	Professional		$73.70	$73.70	$88.60