Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $954.00 / $13,750.00	Facility		$62.96	$954.00	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $62.96 / $129.61	Professional		$44.97	$62.96	$129.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $127.41 / $224.03	Facility		$80.63	$127.41	$224.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $130.91 / $451.12	Professional		$82.24	$130.91	$451.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $114.33 / $179.84	Professional		$70.91	$114.33	$179.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $111.42 / $150.56	Facility		$61.74	$111.42	$150.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $112.48 / $150.60	Professional		$70.11	$112.48	$150.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.96 / $180.72	Professional		$17.11	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.40 / $112.67 / $120.60	Facility		$72.40	$112.67	$120.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $80.63 / $82.26	Facility		$80.63	$80.63	$82.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $116.58 / $156.75	Professional		$80.70	$116.58	$156.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $107.25 / $146.34	Professional		$79.37	$107.25	$146.34
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $117.12 / $172.83	Professional		$76.09	$117.12	$172.83