Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $88.62 / $121.21	Facility		$51.71	$88.62	$121.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $51.71 / $110.23	Professional		$38.10	$51.71	$110.23
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 $55.93 / $97.56 / $1,017.00	Professional		$55.93	$97.56	$1,017.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $83.22 / $120.99	Professional		$54.92	$83.22	$120.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $96.73 / $1,348.32	Facility		$52.20	$96.73	$1,348.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $91.02 / $279.76	Professional		$52.20	$91.02	$279.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $39.81 / $57.47	Professional		$17.70	$39.81	$57.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.27 / $78.43 / $84.37	Facility		$60.27	$78.43	$84.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $54.36 / $54.84	Facility		$54.36	$54.36	$54.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $91.48 / $112.48	Professional		$56.88	$91.48	$112.48
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 $55.44 / $78.89 / $106.26	Professional		$55.44	$78.89	$106.26
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 $53.99 / $80.73 / $117.01	Professional		$53.99	$80.73	$117.01