Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $75.37 / $115.80	Facility		$50.75	$75.37	$115.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $54.96 / $115.80	Professional		$28.64	$54.96	$115.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $418.55 / $854.16	Facility		$55.00	$418.55	$854.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $83.58 / $327.68	Professional		$48.50	$83.58	$327.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $54.41 / $54.41	Facility		$54.41	$54.41	$54.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $65.22 / $117.48	Professional		$36.90	$65.22	$117.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $61.42 / $110.88	Facility		$35.22	$61.42	$110.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $61.42 / $107.16	Professional		$35.22	$61.42	$107.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $101.30 / $178.72	Professional		$18.01	$101.30	$178.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $82.62 / $87.77	Facility		$53.95	$82.62	$87.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $56.17 / $59.87	Facility		$15.56	$56.17	$59.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $68.98 / $105.85	Professional		$46.54	$68.98	$105.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.56 / $446.53 / $854.16	Facility		$289.56	$446.53	$854.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $66.20 / $101.90	Professional		$43.58	$66.20	$101.90
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 $51.66 / $71.02 / $121.55	Professional		$51.66	$71.02	$121.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $36.44 / $48.35	Professional		$29.02	$36.44	$48.35