Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $117.46 / $125.10	Professional		$65.68	$117.46	$125.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $125.10 / $240.02 / $668.63	Facility		$125.10	$240.02	$668.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $157.16 / $1,046.40	Professional		$127.05	$157.16	$1,046.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $149.87 / $279.77	Facility		$96.72	$149.87	$279.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $155.69 / $302.69	Professional		$101.25	$155.69	$302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $124.08 / $137.87	Professional		$70.00	$124.08	$137.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.52 / $139.52 / $142.87	Facility		$139.52	$139.52	$142.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.10 / $125.10 / $125.10	Facility		$125.10	$125.10	$125.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $139.52 / $160.44	Professional		$118.59	$139.52	$160.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $157.16 / $157.16	Professional		$157.16	$157.16	$157.16
United Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $67.09 / $115.58	Professional		$57.88	$67.09	$115.58