Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.43 / $433.86 / $6,629.40	Facility		$58.43	$433.86	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $82.31 / $226.30	Professional		$32.59	$82.31	$226.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $176.16 / $567.02 / $1,107.58	Facility		$176.16	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $151.29 / $644.40	Professional		$53.11	$151.29	$644.40
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $80.14 / $112.16 / $242.39	Professional	50	$80.14	$112.16	$242.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $102.70 / $233.65	Professional		$47.64	$102.70	$233.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.50 / $95.18 / $215.97	Facility		$51.50	$95.18	$215.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $97.61 / $214.96	Professional		$52.80	$97.61	$214.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $150.05 / $267.18	Professional		$26.61	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.51 / $150.08 / $175.54	Facility		$73.51	$150.08	$175.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.73 / $119.73 / $121.40	Facility		$119.73	$119.73	$121.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $109.39 / $219.48	Professional		$53.11	$109.39	$219.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $105.25 / $202.79	Professional		$50.82	$105.25	$202.79
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 $97.02 / $128.77 / $249.84	Professional		$97.02	$128.77	$249.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $96.54	Professional		$40.90	$40.90	$96.54