Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $57.68 / $198.61	Facility		$12.48	$57.68	$198.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $23.97 / $57.68	Professional		$9.16	$23.97	$57.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $55.00 / $89.47	Facility		$42.50	$55.00	$89.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $59.17 / $268.64	Professional		$15.13	$59.17	$268.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $30.94 / $95.10	Professional		$14.53	$30.94	$95.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.78 / $22.92 / $59.24	Facility		$20.78	$22.92	$59.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $26.95 / $59.90	Professional		$20.78	$26.95	$59.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $4.02 / $20.55	Professional		$0.55	$4.02	$20.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $51.13 / $61.15	Facility		$19.04	$51.13	$61.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $40.32 / $42.50	Facility		$40.32	$40.32	$42.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $30.02 / $75.62	Professional		$15.52	$30.02	$75.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $27.72 / $71.98	Professional		$14.54	$27.72	$71.98
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $49.68 / $86.46	Professional		$33.50	$49.68	$86.46