Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $68.73 / $75.42	Professional		$65.02	$68.73	$75.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.58 / $2,489.36 / $2,489.36	Facility		$60.58	$2,489.36	$2,489.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $129.22 / $442.95	Professional		$73.18	$129.22	$442.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.27 / $163.27 / $163.27	Professional		$163.27	$163.27	$163.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.96 / $103.18	Facility		$0.79	$0.96	$103.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $78.37 / $84.09	Facility		$78.37	$78.37	$84.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $135.87 / $172.46	Professional		$86.55	$135.87	$172.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $117.12 / $117.12	Facility		$117.12	$117.12	$117.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $92.51 / $125.44	Professional		$63.29	$92.51	$125.44
United Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $106.92 / $175.49	Professional		$65.47	$106.92	$175.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10