Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.17 / $97.48 / $12,214.00	Facility		$46.17	$97.48	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $42.61 / $85.64	Professional		$29.12	$42.61	$85.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $55.00 / $130.19	Facility		$51.64	$55.00	$130.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $78.92 / $460.43	Professional		$49.88	$78.92	$460.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $71.54 / $113.55	Professional		$44.76	$71.54	$113.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $65.48 / $90.74	Facility		$35.96	$65.48	$90.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $65.48 / $90.74	Professional		$36.54	$65.48	$90.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.96 / $180.81	Professional		$17.11	$110.96	$180.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $70.09 / $76.38	Facility		$48.98	$70.09	$76.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $51.64 / $52.10	Facility		$51.64	$51.64	$52.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $69.76 / $98.49	Professional		$50.00	$69.76	$98.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $273.89 / $273.89 / $345.07	Facility		$273.89	$273.89	$345.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $65.73 / $89.31	Professional		$47.39	$65.73	$89.31
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 $48.84 / $83.79 / $112.00	Professional		$48.84	$83.79	$112.00