Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.46 / $83.65 / $14,464.32	Facility		$31.46	$83.65	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $37.49 / $83.65	Professional		$23.00	$37.49	$83.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $55.00 / $208.22	Facility		$45.24	$55.00	$208.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $60.58 / $247.44	Professional		$26.67	$60.58	$247.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $42.70 / $92.22	Professional		$21.99	$42.70	$92.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $47.82 / $87.66	Facility		$26.23	$47.82	$87.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $47.82 / $87.87	Professional		$26.87	$47.82	$87.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $50.31 / $90.97	Professional		$9.00	$50.31	$90.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $60.30 / $68.00	Facility		$33.06	$60.30	$68.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $45.24 / $45.30	Facility		$45.24	$45.24	$45.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $45.36 / $83.35	Professional		$26.29	$45.36	$83.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.27 / $165.27 / $208.22	Facility		$165.27	$165.27	$208.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $44.28 / $76.63	Professional		$23.56	$44.28	$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 $39.90 / $55.00 / $96.56	Professional		$39.90	$55.00	$96.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $36.14	Professional		$17.20	$17.20	$36.14