Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $62.15 / $84.65	Facility		$36.29	$62.15	$84.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $36.29 / $76.65	Professional		$26.36	$36.29	$76.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,202.90 / $2,353.23	Facility		$55.00	$1,202.90	$2,353.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $65.23 / $802.60	Professional		$38.39	$65.23	$802.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $58.20 / $84.62	Professional		$38.07	$58.20	$84.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.07 / $67.95 / $852.68	Facility		$36.07	$67.95	$852.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $63.52 / $279.76	Professional		$36.07	$63.52	$279.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.80 / $39.72	Professional		$15.85	$27.80	$39.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $54.21 / $58.48	Facility		$43.61	$54.21	$58.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $37.60 / $38.39	Facility		$37.60	$37.60	$38.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $64.03 / $78.73	Professional		$39.67	$64.03	$78.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $797.73 / $1,230.20 / $2,353.23	Facility		$797.73	$1,230.20	$2,353.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $55.22 / $74.38	Professional		$38.35	$55.22	$74.38
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $59.24 / $81.12	Professional		$36.63	$59.24	$81.12