Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $61.70 / $379.61	Facility		$20.43	$61.70	$379.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $30.33 / $60.53	Professional		$14.59	$30.33	$60.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $220.24 / $478.25	Facility		$55.00	$220.24	$478.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $39.52 / $138.00	Professional		$17.28	$39.52	$138.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $42.83 / $79.31	Professional		$21.81	$42.83	$79.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $42.81 / $91.46	Facility		$24.52	$42.81	$91.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $39.61 / $76.95	Professional		$23.93	$39.61	$76.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $8.41 / $17.64	Professional		$0.92	$8.41	$17.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $54.01 / $59.63	Facility		$30.15	$54.01	$59.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $38.51 / $38.51	Facility		$37.47	$38.51	$38.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $39.60 / $70.95	Professional		$21.25	$39.60	$70.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $362.00 / $688.42	Facility		$234.74	$362.00	$688.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $39.27 / $63.47	Professional		$21.25	$39.27	$63.47
United Facility/Professional Facility Modifier Low / Median / High Price $353.69 / $461.03 / $887.15	Facility		$353.69	$461.03	$887.15
United Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $47.57 / $79.18	Professional		$33.54	$47.57	$79.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $30.29	Professional		$15.29	$15.29	$30.29