Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.49 / $7,920.26 / $27,982.24	Facility		$54.49	$7,920.26	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $54.49 / $61.13	Professional		$38.69	$54.49	$61.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.07 / $123.79 / $243.73	Facility		$83.07	$123.79	$243.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $118.20 / $463.43	Professional		$69.30	$118.20	$463.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Professional		$71.95	$71.95	$71.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $103.67 / $187.25	Facility		$38.03	$103.67	$187.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $163.51 / $163.51	Professional		$163.51	$163.51	$163.51
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 $42.02 / $49.44 / $107.87	Facility		$42.02	$49.44	$107.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $67.50 / $73.58	Facility		$67.50	$67.50	$73.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $113.37 / $146.04	Professional		$76.81	$113.37	$146.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $108.15 / $204.42	Facility		$81.63	$108.15	$204.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $91.77 / $133.63	Professional		$65.48	$91.77	$133.63
United Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $87.00 / $150.66	Professional		$64.31	$87.00	$150.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.66 / $60.66	Professional		$53.70	$60.66	$60.66