Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Facility		$98.16	$98.16	$98.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $85.54 / $112.24	Professional		$52.44	$85.54	$112.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $236.90 / $408.85 / $408.85	Facility		$236.90	$408.85	$408.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $184.50 / $847.90	Professional		$106.72	$184.50	$847.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $153.69 / $459.46	Facility		$65.55	$153.69	$459.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $153.91 / $419.10	Professional		$65.55	$153.91	$419.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $137.52 / $141.64	Professional		$75.00	$137.52	$141.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $193.72 / $197.98	Facility		$159.47	$193.72	$197.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $104.64 / $105.57	Facility		$104.64	$104.64	$105.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $178.79 / $216.52	Professional		$113.63	$178.79	$216.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $151.54 / $204.55	Professional		$106.72	$151.54	$204.55
United Facility/Professional Professional Modifier Low / Median / High Price $188.11 / $325.79 / $626.41	Professional		$188.11	$325.79	$626.41