Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $46.41 / $81.72	Facility		$22.59	$46.41	$81.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $39.83 / $74.31	Professional		$22.59	$39.83	$74.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $361.80 / $800.58	Facility		$55.00	$361.80	$800.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $55.98 / $288.70	Professional		$31.64	$55.98	$288.70
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $54.02 / $55.74 / $91.50	Professional	50	$54.02	$55.74	$91.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $46.36 / $86.70	Professional		$24.73	$46.36	$86.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $59.75 / $121.50	Facility		$29.43	$59.75	$121.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $52.33 / $106.08	Professional		$28.35	$52.33	$106.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $15.42 / $28.67	Professional		$1.10	$15.42	$28.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.99 / $58.04 / $84.50	Facility		$36.99	$58.04	$84.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $40.22 / $40.32	Facility		$40.22	$40.22	$40.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $46.12 / $73.95	Professional		$30.08	$46.12	$73.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $43.56 / $72.20	Professional		$28.35	$43.56	$72.20
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 $37.20 / $63.50 / $85.93	Professional		$37.20	$63.50	$85.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $24.29 / $32.26	Professional		$18.84	$24.29	$32.26