Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $212.50 / $7,984.74	Facility		$40.02	$212.50	$7,984.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $54.64 / $151.41	Professional		$25.53	$54.64	$151.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $99.92 / $567.02 / $1,107.58	Facility		$99.92	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $144.43 / $614.64	Professional		$32.04	$144.43	$614.64
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $53.95 / $67.61 / $234.30	Professional	50	$53.95	$67.61	$234.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $69.84 / $218.97	Professional		$28.54	$69.84	$218.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $73.08 / $183.40	Facility		$32.00	$73.08	$183.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $71.29 / $190.25	Professional		$32.17	$71.29	$190.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $150.05 / $267.18	Professional		$26.61	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $111.52 / $166.16	Facility		$43.55	$111.52	$166.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $111.89 / $113.34	Facility		$111.89	$111.89	$113.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $72.27 / $204.97	Professional		$31.20	$72.27	$204.97
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 $30.03 / $71.42 / $188.36	Professional		$30.03	$71.42	$188.36
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 $75.44 / $104.48 / $238.47	Professional		$75.44	$104.48	$238.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $22.71 / $92.95	Professional		$22.71	$22.71	$92.95