Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $83.43 / $136.47	Facility		$58.65	$83.43	$136.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $57.28 / $136.47	Professional		$33.53	$57.28	$136.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $84.38 / $163.24	Facility		$55.00	$84.38	$163.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $97.52 / $1,687.42	Professional		$53.33	$97.52	$1,687.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $78.48 / $154.11	Professional		$41.19	$78.48	$154.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $72.28 / $128.86	Facility		$37.61	$72.28	$128.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $72.28 / $128.86	Professional		$39.04	$72.28	$128.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.31 / $101.01 / $177.56	Professional		$18.31	$101.01	$177.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.05 / $99.16 / $115.24	Facility		$61.05	$99.16	$115.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.29 / $74.29 / $78.59	Facility		$74.29	$74.29	$78.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $82.36 / $139.80	Professional		$53.16	$82.36	$139.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $84.38 / $161.41	Facility		$59.76	$84.38	$161.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $77.95 / $132.29	Professional		$50.05	$77.95	$132.29
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $80.04 / $151.47	Professional		$53.56	$80.04	$151.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $46.38 / $61.92	Professional		$32.32	$46.38	$61.92