Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $85.47 / $94.11	Professional		$81.13	$85.47	$94.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $2,489.36 / $2,489.36	Facility		$120.00	$2,489.36	$2,489.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $169.53 / $618.67	Professional		$99.33	$169.53	$618.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.91 / $227.91 / $227.91	Professional		$227.91	$227.91	$227.91
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 $20.61 / $24.25 / $144.05	Facility		$20.61	$24.25	$144.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.85 / $97.85 / $98.26	Facility		$97.85	$97.85	$98.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $166.41 / $202.18	Professional		$110.45	$166.41	$202.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $146.22 / $146.22	Facility		$146.22	$146.22	$146.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $139.85 / $186.19	Professional		$99.33	$139.85	$186.19
United Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $133.47 / $213.83	Professional		$83.57	$133.47	$213.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $26.41 / $26.41	Professional		$26.41	$26.41	$26.41