Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $27.09	Facility		$27.09	$27.09	$27.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $27.09 / $31.08	Professional		$19.09	$27.09	$31.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $106.87 / $144.41	Facility		$50.00	$106.87	$144.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $58.12 / $224.70	Professional		$34.19	$58.12	$224.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $33.06 / $34.86	Professional		$33.06	$33.06	$34.86
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 $79.23 / $79.23 / $79.23	Professional		$79.23	$79.23	$79.23
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 $17.26 / $20.71 / $23.14	Facility		$17.26	$20.71	$23.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $33.52 / $35.65	Facility		$33.52	$33.52	$35.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $56.52 / $70.75	Professional		$38.96	$56.52	$70.75
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 $33.65 / $44.24 / $61.85	Professional		$33.65	$44.24	$61.85
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 $28.29 / $38.20 / $69.31	Professional		$28.29	$38.20	$69.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $30.00	Professional		$27.27	$27.27	$30.00