Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $5,116.62 / $20,680.40	Facility		$28.49	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $28.25 / $48.17	Professional		$19.09	$28.25	$48.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $699.99 / $1,339.76	Facility		$55.00	$699.99	$1,339.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $94.97 / $339.00	Professional		$37.36	$94.97	$339.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $185.82 / $309.58	Facility		$185.82	$185.82	$309.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $83.86 / $117.37	Professional		$44.30	$83.86	$117.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $53.15 / $643.15	Facility		$28.98	$53.15	$643.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $51.85 / $208.59	Professional		$31.50	$51.85	$208.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $50.81 / $55.52	Facility		$32.38	$50.81	$55.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $53.01 / $141.68	Facility		$28.99	$53.01	$141.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $58.28 / $105.22	Professional		$45.41	$58.28	$105.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $527.08 / $700.39 / $1,339.76	Facility		$527.08	$700.39	$1,339.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $99.49 / $142.57	Professional		$29.57	$99.49	$142.57
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 $28.16 / $55.48 / $99.44	Professional		$28.16	$55.48	$99.44