Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $62.72	Facility		$62.72	$62.72	$62.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $62.58 / $68.33	Professional		$47.21	$62.58	$68.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $84.60 / $134.49 / $311.83	Facility		$84.60	$134.49	$311.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $141.38 / $560.85	Professional		$84.55	$141.38	$560.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $93.02 / $111.44	Professional		$87.15	$93.02	$111.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $103.67 / $182.66	Facility		$38.03	$103.67	$182.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $198.06 / $198.06	Professional		$198.06	$198.06	$198.06
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 $57.15 / $71.44 / $130.65	Facility		$57.15	$71.44	$130.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $82.90 / $89.12	Facility		$82.90	$82.90	$89.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $133.33 / $176.88	Professional		$94.52	$133.33	$176.88
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 $79.31 / $111.15 / $160.84	Professional		$79.31	$111.15	$160.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,021.00 / $2,446.00 / $36,803.00	Facility		$1,021.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $77.14 / $160.47	Professional		$58.12	$77.14	$160.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $86.28 / $86.28	Professional		$67.28	$86.28	$86.28