Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Facility		$43.31	$43.31	$43.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $43.31 / $64.98	Professional		$24.08	$43.31	$64.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.03 / $106.87 / $204.42	Facility		$70.03	$106.87	$204.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $94.40 / $363.08	Professional		$55.45	$94.40	$363.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $138.81 / $347.97	Facility		$38.03	$138.81	$347.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $127.89 / $127.89	Professional		$127.89	$127.89	$127.89
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 $55.39 / $79.73 / $84.42	Facility		$55.39	$79.73	$84.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.91 / $53.91 / $57.58	Facility		$53.91	$53.91	$57.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $90.55 / $114.29	Professional		$57.58	$90.55	$114.29
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 $54.98 / $80.84 / $111.57	Professional		$54.98	$80.84	$111.57
United Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $73.79 / $116.03	Professional		$52.36	$73.79	$116.03