Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.94 / $365.06 / $688.13	Facility		$138.94	$365.06	$688.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $55.10 / $108.30	Professional		$34.27	$55.10	$108.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $166.28 / $412.76 / $848.13	Facility		$166.28	$412.76	$848.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $146.77 / $532.73	Professional		$48.87	$146.77	$532.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $50.31	Professional		$50.31	$50.31	$50.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.77 / $87.84 / $184.39	Facility		$54.77	$87.84	$184.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $83.35 / $160.71	Professional		$54.77	$83.35	$160.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $100.00 / $100.00	Professional		$50.00	$100.00	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.65 / $120.89 / $122.61	Facility		$100.65	$120.89	$122.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $82.90 / $83.63	Facility		$82.90	$82.90	$83.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $139.24 / $171.29	Professional		$86.67	$139.24	$171.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.52 / $443.38 / $848.13	Facility		$323.52	$443.38	$848.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $112.55 / $159.21	Professional		$84.55	$112.55	$159.21
United Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $98.81 / $176.68	Professional		$61.40	$98.81	$176.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $52.81 / $60.00	Professional		$52.81	$52.81	$60.00