Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.71 / $86.71 / $86.71	Facility		$86.71	$86.71	$86.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $98.19 / $144.66	Professional		$86.71	$98.19	$144.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $207.80 / $289.74 / $711.31	Facility		$207.80	$289.74	$711.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $133.09 / $1,113.23	Professional		$126.17	$133.09	$1,113.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Professional		$62.01	$62.01	$62.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $203.67 / $302.70	Facility		$102.61	$203.67	$302.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $203.67 / $321.56	Professional		$103.56	$203.67	$321.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $133.58 / $151.99	Professional		$30.00	$133.58	$151.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.43 / $151.99 / $167.19	Facility		$148.43	$151.99	$167.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.09 / $266.18 / $394.82	Facility		$133.09	$266.18	$394.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $148.43 / $170.69	Professional		$126.17	$148.43	$170.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $129.19 / $151.99	Professional		$122.73	$129.19	$151.99
United Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $96.68 / $122.97	Professional		$64.45	$96.68	$122.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $129.19 / $151.99	Professional		$129.19	$129.19	$151.99