Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.96 / $270.04 / $281.94	Facility		$118.96	$270.04	$281.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $118.96 / $281.94	Professional		$105.74	$118.96	$281.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $154.35 / $357.83 / $923.64	Facility		$154.35	$357.83	$923.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $166.87 / $1,163.40	Professional		$128.68	$166.87	$1,163.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $110.15	Facility		$110.15	$110.15	$110.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $80.41 / $110.15	Professional		$80.41	$80.41	$110.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $111.02 / $187.63 / $483.00	Facility		$111.02	$187.63	$483.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $189.01 / $374.03	Professional		$111.14	$189.01	$374.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $135.13 / $148.64	Professional		$121.61	$135.13	$148.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $172.14 / $209.43	Facility		$139.91	$172.14	$209.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $176.27 / $209.43	Professional		$158.63	$176.27	$209.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.35 / $197.96 / $344.28	Facility		$154.35	$197.96	$344.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $167.78 / $172.14 / $172.14	Facility		$167.78	$172.14	$172.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $149.83 / $193.90	Professional		$140.03	$149.83	$193.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $94.86 / $167.78	Professional		$81.95	$94.86	$167.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $78.81 / $107.19	Professional		$78.81	$78.81	$107.19