Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Facility		$14.22	$14.22	$14.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $14.97 / $137.74	Professional		$13.28	$14.97	$137.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $499.54 / $499.54	Facility		$15.00	$499.54	$499.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $64.50 / $1,085.09	Professional		$40.00	$64.50	$1,085.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.00 / $40.53	Professional		$19.00	$24.00	$40.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $26.84 / $354.04	Facility		$22.50	$26.84	$354.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $189.97	Professional		$22.50	$22.50	$189.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $129.00	Professional		$60.00	$75.00	$129.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $231.93 / $237.18	Facility		$139.16	$231.93	$237.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $63.79 / $97.86	Facility		$63.79	$63.79	$97.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $64.50 / $64.50	Professional		$64.50	$64.50	$64.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $177.19 / $361.93	Professional		$23.82	$177.19	$361.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $56.88 / $56.88	Professional		$56.88	$56.88	$56.88