Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.66 / $679.56 / $17,930.00	Facility		$72.66	$679.56	$17,930.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $11.07 / $19.05 / $29.13	Facility	53	$11.07	$19.05	$29.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $55.36 / $138.13	Professional		$43.92	$55.36	$138.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $58.44 / $1,300.00	Facility		$55.00	$58.44	$1,300.00
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $12.21 / $50.00 / $50.00	Facility	53	$12.21	$50.00	$50.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $100.95 / $543.00	Professional		$59.60	$100.95	$543.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $90.34 / $130.58	Professional		$56.30	$90.34	$130.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $91.35 / $118.36	Facility		$45.88	$91.35	$118.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $93.24 / $119.93	Professional		$53.47	$93.24	$119.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $53.05 / $86.03	Professional		$8.77	$53.05	$86.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $84.32 / $98.49	Facility		$70.84	$84.32	$98.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $58.44 / $59.41	Facility		$58.44	$58.44	$59.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $99.68 / $119.30	Professional		$63.26	$99.68	$119.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $85.46 / $115.12	Professional		$59.60	$85.46	$115.12
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 $56.31 / $85.71 / $126.47	Professional		$56.31	$85.71	$126.47