Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $10,122.46 / $27,982.24	Facility		$72.59	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $72.59 / $97.50	Professional		$45.96	$72.59	$97.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $151.34 / $286.08	Facility		$64.44	$151.34	$286.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $117.52 / $405.45	Professional		$64.68	$117.52	$405.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.83 / $150.83 / $150.83	Professional		$150.83	$150.83	$150.83
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 $8.90 / $10.77 / $11.57	Facility		$8.90	$10.77	$11.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $64.44 / $85.16	Facility		$64.44	$64.44	$85.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $107.29 / $147.56	Professional		$66.27	$107.29	$147.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $88.18 / $137.61	Professional		$63.92	$88.18	$137.61
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $20.45 / $37.01	Professional		$15.55	$20.45	$37.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $12.31	Professional		$12.31	$12.31	$12.31