Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $126.60 / $126.60	Facility		$126.60	$126.60	$126.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $100.88 / $130.15	Professional		$35.57	$100.88	$130.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $502.69 / $502.69	Facility		$129.79	$502.69	$502.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $220.53 / $826.73	Professional		$111.95	$220.53	$826.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $160.99 / $250.39	Facility		$88.04	$160.99	$250.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $164.64 / $252.70	Professional		$88.97	$164.64	$252.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.19 / $187.62 / $190.28	Facility		$156.19	$187.62	$190.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $128.65 / $129.79	Facility		$128.65	$128.65	$129.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $216.49 / $260.83	Professional		$137.13	$216.49	$260.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.21 / $184.74 / $242.34	Professional		$131.21	$184.74	$242.34
United Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $153.47 / $274.20	Professional		$101.16	$153.47	$274.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $115.39 / $115.39	Professional		$115.39	$115.39	$115.39