Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Facility		$17.55	$17.55	$17.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $17.55 / $244.00	Professional		$14.89	$17.55	$244.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $412.10 / $846.77	Facility		$77.22	$412.10	$846.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $38.00 / $146.85	Professional		$22.18	$38.00	$146.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $22.86 / $26.82	Professional		$18.18	$22.86	$26.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $161.22 / $685.41	Facility		$142.59	$161.22	$685.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $51.73 / $51.73	Professional		$51.73	$51.73	$51.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $26.67 / $34.17	Facility		$18.67	$26.67	$34.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.74 / $21.74 / $23.31	Facility		$21.74	$21.74	$23.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $36.52 / $46.26	Professional		$23.42	$36.52	$46.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $442.67 / $846.77	Facility		$287.05	$442.67	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $31.20 / $43.52	Professional		$22.18	$31.20	$43.52
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $26.21 / $44.33	Professional		$18.64	$26.21	$44.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $28.92 / $31.63	Professional		$20.81	$28.92	$31.63