Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $144.71 / $14,464.32	Facility		$49.70	$144.71	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $48.86 / $106.40	Professional		$25.23	$48.86	$106.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,740.33 / $3,404.60	Facility		$55.00	$1,740.33	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $111.90 / $443.68	Professional		$39.38	$111.90	$443.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.44 / $56.44 / $85.82	Facility		$56.44	$56.44	$85.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $69.79 / $158.08	Professional		$35.83	$69.79	$158.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $69.16 / $139.04	Facility		$40.59	$69.16	$139.04
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $686.78 / $1,723.14 / $4,145.85	Facility	50	$686.78	$1,723.14	$4,145.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $71.72 / $138.38	Professional		$41.75	$71.72	$138.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $100.61 / $177.40	Professional		$17.68	$100.61	$177.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.91 / $72.58 / $115.91	Facility		$47.91	$72.58	$115.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.47 / $78.37 / $81.34	Facility		$30.47	$78.37	$81.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $78.06 / $144.19	Professional		$38.88	$78.06	$144.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $71.34 / $135.22	Professional		$37.42	$71.34	$135.22
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $83.71 / $164.34	Professional		$67.50	$83.71	$164.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $27.66 / $65.54	Professional		$27.66	$27.66	$65.54