Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.45 / $125.45 / $125.45	Facility		$125.45	$125.45	$125.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $114.03 / $140.22	Professional		$92.94	$114.03	$140.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $199.94 / $593.79 / $593.79	Facility		$199.94	$593.79	$593.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $276.07 / $979.28	Professional		$161.24	$276.07	$979.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $104.45 / $104.45	Professional		$104.45	$104.45	$104.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.43 / $211.18 / $302.01	Facility		$109.43	$211.18	$302.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $197.22 / $302.01	Professional		$107.32	$197.22	$302.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $161.96 / $278.74	Professional		$27.29	$161.96	$278.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.64 / $227.04 / $234.50	Facility		$167.64	$227.04	$234.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $266.81 / $325.73	Professional		$172.50	$266.81	$325.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $227.67 / $303.10	Professional		$161.24	$227.67	$303.10
United Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $184.61 / $336.38	Professional		$126.82	$184.61	$336.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $96.90 / $116.33	Professional		$96.90	$96.90	$116.33