Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $70.30 / $70.30	Facility		$70.30	$70.30	$70.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $96.90 / $192.91	Professional		$70.30	$96.90	$192.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $442.50 / $442.50	Facility		$132.88	$442.50	$442.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $206.70 / $727.73	Professional		$115.50	$206.70	$727.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.66 / $165.88 / $239.47	Facility		$88.66	$165.88	$239.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $145.63 / $239.47	Professional		$80.41	$145.63	$239.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.50 / $165.16 / $167.50	Facility		$137.50	$165.16	$167.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $190.58 / $234.00	Professional		$122.00	$190.58	$234.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $162.62 / $218.03	Professional		$115.50	$162.62	$218.03
United Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $148.46 / $535.45	Professional		$98.70	$148.46	$535.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $40.25 / $191.00	Professional		$40.25	$40.25	$191.00