Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.07 / $190.84 / $199.25	Facility		$84.07	$190.84	$199.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $84.07 / $199.25	Professional		$61.78	$84.07	$199.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $201.49 / $295.04 / $689.69	Facility		$201.49	$295.04	$689.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $129.04 / $1,295.07	Professional		$122.33	$129.04	$1,295.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.10 / $216.57 / $359.45	Facility		$120.10	$216.57	$359.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $216.57 / $359.45	Professional		$141.69	$216.57	$359.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $129.52 / $147.37	Professional		$30.00	$129.52	$147.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.91 / $147.37 / $162.11	Facility		$143.91	$147.37	$162.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $117.07 / $117.07 / $117.07	Professional		$117.07	$117.07	$117.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.04 / $258.08 / $382.83	Facility		$129.04	$258.08	$382.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $143.91 / $165.51	Professional		$122.33	$143.91	$165.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $125.26 / $147.37	Professional		$119.00	$125.26	$147.37
United Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $73.52 / $119.23	Professional		$62.49	$73.52	$119.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $125.26 / $147.37	Professional		$125.26	$125.26	$147.37