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 / $1,229.50 / $2,353.23	Facility		$55.00	$1,229.50	$2,353.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $27.18 / $660.00	Professional		$16.17	$27.18	$660.00
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 / $1,348.32	Facility		$15.27	$28.78	$1,348.32
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 $5.18 / $11.74 / $16.82	Professional		$5.18	$11.74	$16.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $22.89 / $24.78	Facility		$17.86	$22.89	$24.78
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 $939.68 / $1,253.65 / $2,353.23	Facility		$939.68	$1,253.65	$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 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $24.68 / $35.15	Professional		$15.40	$24.68	$35.15