Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $51.79 / $51.79	Facility		$51.79	$51.79	$51.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $51.79 / $115.20	Professional		$51.65	$51.79	$115.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $171.66 / $476.75	Facility		$90.71	$171.66	$476.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $91.49 / $514.42	Professional		$68.68	$91.49	$514.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $82.96	Professional		$43.91	$43.91	$82.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $109.73 / $283.86	Facility		$64.17	$109.73	$283.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $105.66 / $195.99	Professional		$64.17	$105.66	$195.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $79.42 / $87.36	Professional		$71.47	$79.42	$87.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.88 / $101.16 / $113.63	Facility		$100.88	$101.16	$113.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.99 / $90.71 / $197.26	Facility		$85.99	$90.71	$197.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $97.37 / $148.88	Professional		$85.99	$97.37	$148.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.60 / $101.16 / $101.16	Facility		$98.60	$101.16	$101.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $88.05 / $113.95	Professional		$82.30	$88.05	$113.95
United Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $52.75 / $87.07	Professional		$43.60	$52.75	$87.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $51.40 / $51.40	Professional		$51.40	$51.40	$51.40