Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $72.34 / $13,750.00	Facility		$34.65	$72.34	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $27.71 / $60.39	Professional		$19.17	$27.71	$60.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $55.00 / $92.34	Facility		$35.79	$55.00	$92.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $54.12 / $244.00	Professional		$34.56	$54.12	$244.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $49.74 / $78.84	Professional		$31.92	$49.74	$78.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $47.44 / $63.91	Facility		$26.31	$47.44	$63.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $47.44 / $63.90	Professional		$28.24	$47.44	$63.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $9.04 / $16.65	Professional		$1.27	$9.04	$16.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $49.40 / $52.93	Facility		$35.31	$49.40	$52.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $36.10	Facility		$35.79	$35.79	$36.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $48.39 / $68.94	Professional		$35.17	$48.39	$68.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $283.27 / $283.27 / $356.89	Facility		$283.27	$283.27	$356.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $45.75 / $63.64	Professional		$32.85	$45.75	$63.64
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $54.60 / $76.05	Professional		$33.54	$54.60	$76.05