Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.17 / $107.96 / $136.16	Facility		$54.17	$107.96	$136.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $54.17 / $123.83	Professional		$44.72	$54.17	$123.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $67.04 / $1,300.00	Facility		$55.00	$67.04	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $124.50 / $443.10	Professional		$70.09	$124.50	$443.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $101.40 / $146.78	Professional		$64.67	$101.40	$146.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $104.73 / $127.67	Facility		$60.90	$104.73	$127.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.53 / $104.73 / $127.67	Professional		$61.53	$104.73	$127.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.79 / $55.42 / $90.38	Professional		$8.79	$55.42	$90.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.03 / $93.72 / $100.64	Facility		$72.03	$93.72	$100.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $67.04 / $68.09	Facility		$67.04	$67.04	$68.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.14 / $139.66	Professional		$72.44	$114.14	$139.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $97.95 / $131.94	Professional		$68.38	$97.95	$131.94
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $910.00 / $5,793.00	Facility		$190.00	$910.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $108.34 / $144.82	Professional		$65.56	$108.34	$144.82