Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.24 / $135.87 / $155.59	Facility		$117.24	$135.87	$155.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $109.21 / $135.87	Professional		$92.41	$109.21	$135.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $161.27 / $223.54 / $617.20	Facility		$161.27	$223.54	$617.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $297.08 / $1,021.65	Professional		$164.47	$297.08	$1,021.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $134.13 / $259.00	Facility		$92.96	$134.13	$259.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $134.13 / $237.60	Professional		$92.96	$134.13	$237.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $198.74 / $347.18	Professional		$36.88	$198.74	$347.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.49 / $260.14 / $316.91	Facility		$182.49	$260.14	$316.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.27 / $161.27 / $216.16	Facility		$161.27	$161.27	$216.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $263.44 / $366.10	Professional		$164.52	$263.44	$366.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $224.96 / $339.14	Professional		$164.47	$224.96	$339.14
United Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $188.84 / $322.74	Professional		$138.60	$188.84	$322.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $130.85 / $155.59	Professional		$130.85	$130.85	$155.59