Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.04 / $160.04 / $160.04	Facility		$160.04	$160.04	$160.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $149.85 / $160.04	Professional		$145.49	$149.85	$160.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $183.60 / $516.39	Facility		$145.49	$183.60	$516.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $145.49 / $625.67	Professional		$134.16	$145.49	$625.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $137.25 / $271.86	Facility		$137.25	$137.25	$271.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $178.43	Professional		$145.49	$145.49	$178.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $196.41	Facility		$145.49	$145.49	$196.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $196.41	Professional		$145.49	$145.49	$196.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $145.49 / $274.98	Facility		$108.67	$145.49	$274.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $179.28 / $179.28	Facility		$137.93	$179.28	$179.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $137.93 / $216.00	Professional		$126.89	$137.93	$216.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Facility		$145.49	$145.49	$145.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $145.49 / $145.49	Professional		$138.22	$145.49	$145.49
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $174.59	Professional		$145.49	$145.49	$174.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $145.49 / $145.49	Professional		$116.96	$145.49	$145.49