Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $100.45 / $22,024.00	Facility		$49.35	$100.45	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $49.35 / $100.09	Professional		$35.63	$49.35	$100.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $2,000.00	Facility		$55.00	$2,000.00	$2,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $89.64 / $3,744.05	Professional		$52.56	$89.64	$3,744.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $68.83 / $121.87	Professional		$40.54	$68.83	$121.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.89 / $78.87 / $106.70	Facility		$36.89	$78.87	$106.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $81.20 / $105.47	Professional		$36.89	$81.20	$105.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $53.98 / $89.74	Professional		$9.09	$53.98	$89.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $74.37 / $77.05	Facility		$58.83	$74.37	$77.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $51.19 / $52.56	Facility		$51.19	$51.19	$52.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $87.91 / $109.48	Professional		$58.25	$87.91	$109.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $74.76 / $101.83	Professional		$52.21	$74.76	$101.83
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $66.34 / $110.88	Professional		$42.11	$66.34	$110.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $40.89	Professional		$40.89	$40.89	$40.89