Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $154.22 / $4,497.00	Facility		$32.72	$154.22	$4,497.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.89 / $36.54 / $84.55	Facility	52	$15.89	$36.54	$84.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $76.31 / $160.06	Professional		$31.77	$76.31	$160.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.89 / $32.72 / $69.73	Professional	52	$15.89	$32.72	$69.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.81 / $340.26 / $692.47	Facility		$83.81	$340.26	$692.47
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $50.96 / $89.63 / $89.63	Facility	52	$50.96	$89.63	$89.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $118.59 / $539.10	Professional		$45.47	$118.59	$539.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $79.00 / $190.30	Professional		$40.29	$79.00	$190.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $80.08 / $195.24	Facility		$40.08	$80.08	$195.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $74.06 / $171.09	Professional		$40.08	$74.06	$171.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $110.96 / $180.72	Professional		$17.03	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $119.93 / $134.55	Facility		$61.01	$119.93	$134.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.81 / $83.81 / $85.46	Facility		$83.81	$83.81	$85.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $83.39 / $157.34	Professional		$44.77	$83.39	$157.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $76.98 / $144.74	Professional		$39.85	$76.98	$144.74
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 $79.06 / $129.72 / $177.65	Professional		$79.06	$129.72	$177.65