Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $134.83 / $11,522.02	Facility		$26.42	$134.83	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $29.00 / $76.09	Professional		$13.42	$29.00	$76.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $173.34 / $338.40	Facility		$55.00	$173.34	$338.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $57.17 / $246.24	Professional		$20.27	$57.17	$246.24
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $34.25 / $98.60 / $98.60	Professional	50	$34.25	$98.60	$98.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $39.27 / $87.92	Professional		$18.42	$39.27	$87.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $40.11 / $82.76	Facility		$20.64	$40.11	$82.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $39.89 / $82.48	Professional		$20.79	$39.89	$82.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $50.31 / $90.97	Professional		$8.97	$50.31	$90.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $59.19 / $66.33	Facility		$28.14	$59.19	$66.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.49 / $43.49 / $45.24	Facility		$43.49	$43.49	$45.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $43.31 / $82.93	Professional		$20.64	$43.31	$82.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $176.65 / $331.58	Facility		$132.41	$176.65	$331.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $37.70 / $76.63	Professional		$19.87	$37.70	$76.63
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 $39.00 / $49.33 / $93.10	Professional		$39.00	$49.33	$93.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $14.78 / $36.88	Professional		$14.78	$14.78	$36.88