Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $365.94 / $7,984.74	Facility		$31.52	$365.94	$7,984.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $45.89 / $126.86	Professional		$18.03	$45.89	$126.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $115.02 / $567.02 / $1,107.58	Facility		$115.02	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $125.99 / $529.20	Professional		$22.56	$125.99	$529.20
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $47.04 / $47.04 / $201.08	Professional	50	$47.04	$47.04	$201.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $49.83 / $190.15	Professional		$19.94	$49.83	$190.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $58.56 / $177.86	Facility		$22.50	$58.56	$177.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $51.47 / $166.00	Professional		$22.77	$51.47	$166.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.90 / $100.63 / $181.95	Professional		$17.90	$100.63	$181.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $96.59 / $143.38	Facility		$29.89	$96.59	$143.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.80 / $97.80 / $97.85	Facility		$97.80	$97.80	$97.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $85.12 / $178.80	Professional		$22.56	$85.12	$178.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $51.64 / $164.04	Professional		$21.71	$51.64	$164.04
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 $64.23 / $89.05 / $204.26	Professional		$64.23	$89.05	$204.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $15.79 / $80.51	Professional		$15.79	$15.79	$80.51