Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.33 / $184.52 / $10,122.46	Facility		$59.33	$184.52	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $55.34 / $133.12	Professional		$28.80	$55.34	$133.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $361.80 / $706.71	Facility		$82.66	$361.80	$706.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $107.85 / $431.44	Professional		$46.58	$107.85	$431.44
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $71.79 / $99.09 / $166.19	Professional	50	$71.79	$99.09	$166.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $72.67 / $153.32	Professional		$41.56	$72.67	$153.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $71.93 / $131.88	Facility		$44.64	$71.93	$131.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $75.16 / $139.79	Professional		$46.00	$75.16	$139.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $50.31 / $90.97	Professional		$9.02	$50.31	$90.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $95.11 / $116.58	Facility		$54.87	$95.11	$116.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.01 / $77.01 / $79.52	Facility		$77.01	$77.01	$79.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $80.59 / $142.53	Professional		$45.59	$80.59	$142.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $78.54 / $132.15	Professional		$42.50	$78.54	$132.15
United Facility/Professional Facility Modifier Low / Median / High Price $353.69 / $485.30 / $1,017.12	Facility		$353.69	$485.30	$1,017.12
United Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $75.88 / $162.46	Professional		$59.35	$75.88	$162.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $36.59 / $65.80	Professional		$36.59	$36.59	$65.80