Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $25.89 / $35.54	Facility		$15.30	$25.89	$35.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $15.30 / $32.33	Professional		$11.15	$15.30	$32.33
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 $16.17 / $27.18 / $605.00	Professional		$16.17	$27.18	$605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $24.33 / $35.35	Professional		$15.95	$24.33	$35.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $28.78 / $852.68	Facility		$15.27	$28.78	$852.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $26.64 / $279.76	Professional		$15.27	$26.64	$279.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $12.41 / $16.82	Professional		$6.71	$12.41	$16.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $22.89 / $24.84	Facility		$18.41	$22.89	$24.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $15.86 / $16.00	Facility		$15.86	$15.86	$16.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $26.68 / $32.81	Professional		$16.73	$26.68	$32.81
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 $16.17 / $23.01 / $30.99	Professional		$16.17	$23.01	$30.99
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $910.00 / $5,793.00	Facility		$190.00	$910.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $23.46 / $34.11	Professional		$15.40	$23.46	$34.11