Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $90.13 / $14,464.32	Facility		$42.18	$90.13	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $31.07 / $65.56	Professional		$21.26	$31.07	$65.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $55.00 / $249.58	Facility		$43.94	$55.00	$249.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $62.80 / $2,582.05	Professional		$35.53	$62.80	$2,582.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $50.95 / $84.77	Professional		$30.65	$50.95	$84.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $52.96 / $83.17	Facility		$32.86	$52.96	$83.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $53.97 / $87.16	Professional		$34.50	$53.97	$87.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $50.60 / $89.76	Professional		$8.97	$50.60	$89.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $63.54 / $66.33	Facility		$41.04	$63.54	$66.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $43.94 / $44.33	Facility		$43.94	$43.94	$44.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $58.29 / $81.26	Professional		$35.86	$58.29	$81.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.10 / $198.10 / $249.58	Facility		$198.10	$198.10	$249.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $49.00 / $77.63	Professional		$34.65	$49.00	$77.63
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 $41.01 / $51.99 / $94.09	Professional		$41.01	$51.99	$94.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $25.63 / $35.10	Professional		$25.63	$25.63	$35.10