Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $27.70 / $17,930.00	Facility		$13.60	$27.70	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $16.76 / $32.90	Professional		$6.92	$16.76	$32.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $173.24 / $338.40	Facility		$50.00	$173.24	$338.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $22.11 / $132.09	Professional		$10.56	$22.11	$132.09
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $19.67 / $43.28 / $43.28	Professional	50	$19.67	$43.28	$43.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $18.28 / $40.11	Professional		$9.51	$18.28	$40.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $18.86 / $44.06	Facility		$10.89	$18.86	$44.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $19.03 / $40.29	Professional		$11.00	$19.03	$40.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.52 / $339.11	Professional		$3.15	$4.52	$339.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $26.80 / $30.38	Facility		$14.74	$26.80	$30.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $19.64	Facility		$18.57	$18.57	$19.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $19.64 / $35.01	Professional		$10.56	$19.64	$35.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $173.34 / $331.58	Facility		$112.40	$173.34	$331.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $18.72 / $33.90	Professional		$10.16	$18.72	$33.90
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 $17.20 / $24.00 / $40.19	Professional		$17.20	$24.00	$40.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $15.88	Professional		$7.59	$7.59	$15.88