Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.35 / $5,128.00 / $22,024.00	Facility		$276.35	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $276.35 / $309.88	Professional		$136.99	$276.35	$309.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $171.01 / $218.90 / $451.47	Facility		$171.01	$218.90	$451.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $344.29 / $1,182.53	Professional		$216.10	$344.29	$1,182.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.54 / $439.54 / $439.54	Professional		$439.54	$439.54	$439.54
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 $180.70 / $269.30 / $275.37	Facility		$180.70	$269.30	$275.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.83 / $187.83 / $341.56	Facility		$187.83	$187.83	$341.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $311.97 / $496.89	Professional		$210.66	$311.97	$496.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.01 / $205.22 / $410.43	Facility		$171.01	$205.22	$410.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $270.19 / $463.41	Professional		$233.70	$270.19	$463.41
United Facility/Professional Professional Modifier Low / Median / High Price $164.17 / $198.65 / $528.94	Professional		$164.17	$198.65	$528.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $137.40	Professional		$137.40	$137.40	$137.40