Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $50.76 / $75.64	Facility		$36.36	$50.76	$75.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $41.93 / $75.64	Professional		$24.17	$41.93	$75.64
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 $35.03 / $57.74 / $279.68	Professional		$35.03	$57.74	$279.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $42.79 / $89.90	Professional		$19.25	$42.79	$89.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $57.12 / $112.79	Facility		$30.76	$57.12	$112.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $52.78 / $103.39	Professional		$28.83	$52.78	$103.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $16.81 / $28.67	Professional		$1.23	$16.81	$28.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $58.24 / $79.91	Facility		$37.52	$58.24	$79.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.40 / $41.13	Facility		$39.40	$39.40	$41.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $49.18 / $74.18	Professional		$32.92	$49.18	$74.18
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 $31.47 / $47.13 / $71.09	Professional		$31.47	$47.13	$71.09
United Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $648.00 / $5,793.00	Facility		$151.00	$648.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $62.93 / $88.40	Professional		$37.81	$62.93	$88.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $24.57 / $32.40	Professional		$20.58	$24.57	$32.40