Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $50.46 / $82.09	Facility		$24.17	$50.46	$82.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $39.22 / $75.26	Professional		$24.17	$39.22	$75.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $169.50 / $383.35	Facility		$55.00	$169.50	$383.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $57.19 / $270.66	Professional		$33.90	$57.19	$270.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $46.55 / $85.32	Professional		$25.61	$46.55	$85.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $57.42 / $114.80	Facility		$30.52	$57.42	$114.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $52.30 / $104.73	Professional		$28.52	$52.30	$104.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $15.94 / $28.06	Professional		$6.69	$15.94	$28.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $57.15 / $83.19	Facility		$39.72	$57.15	$83.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $39.76 / $39.86	Facility		$39.76	$39.76	$39.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $47.75 / $73.13	Professional		$32.35	$47.75	$73.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $124.59 / $169.50 / $331.58	Facility		$124.59	$169.50	$331.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $45.83 / $71.38	Professional		$29.50	$45.83	$71.38
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 $36.11 / $61.10 / $84.96	Professional		$36.11	$61.10	$84.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $24.02 / $31.74	Professional		$19.51	$24.02	$31.74