Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.64 / $69.64 / $69.64	Facility		$69.64	$69.64	$69.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $69.64 / $121.73	Professional		$34.79	$69.64	$121.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.07 / $110.98 / $276.50	Facility		$83.07	$110.98	$276.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $160.91 / $635.70	Professional		$88.24	$160.91	$635.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $132.31 / $331.69	Facility		$38.03	$132.31	$331.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.34 / $236.34 / $236.34	Professional		$236.34	$236.34	$236.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $72.41 / $79.83	Facility		$57.00	$72.41	$79.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $86.52 / $101.00	Facility		$86.52	$86.52	$101.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $156.49 / $200.47	Professional		$101.00	$156.49	$200.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $108.90 / $204.42	Facility		$81.63	$108.90	$204.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $141.79 / $195.70	Professional		$88.24	$141.79	$195.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $109.89 / $223.55	Professional		$72.16	$109.89	$223.55