Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $74.80 / $128.31	Facility		$30.42	$74.80	$128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $49.95 / $102.88	Professional		$29.12	$49.95	$102.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.52 / $173.24 / $335.35	Facility		$79.52	$173.24	$335.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $107.85 / $428.32	Professional		$46.69	$107.85	$428.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $75.81 / $175.76	Professional		$41.49	$75.81	$175.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $67.84 / $150.91	Facility		$39.68	$67.84	$150.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $67.84 / $117.28	Professional		$41.75	$67.84	$117.28
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 $55.61 / $92.87 / $116.58	Facility		$55.61	$92.87	$116.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.52 / $79.52 / $81.09	Facility		$79.52	$79.52	$81.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $77.40 / $150.02	Professional		$44.25	$77.40	$150.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $180.02 / $338.40	Facility		$132.41	$180.02	$338.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $79.04 / $134.68	Professional		$41.46	$79.04	$134.68
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 $67.76 / $122.54 / $168.96	Professional		$67.76	$122.54	$168.96