Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.84 / $293.58 / $13,809.00	Facility		$44.84	$293.58	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $39.85 / $86.42	Professional		$23.14	$39.85	$86.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $793.41 / $1,619.17	Facility		$55.00	$793.41	$1,619.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $63.76 / $210.68	Professional		$41.15	$63.76	$210.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $670.00 / $761.81	Facility		$32.95	$670.00	$761.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $55.63 / $90.01	Professional		$31.08	$55.63	$90.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $54.00 / $103.28	Facility		$24.85	$54.00	$103.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $53.40 / $92.60	Professional		$24.85	$53.40	$92.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $14.02 / $20.55	Professional		$1.40	$14.02	$20.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $62.72 / $78.39	Facility		$46.23	$62.72	$78.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $42.58 / $43.87	Facility		$9.78	$42.58	$43.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $57.91 / $79.18	Professional		$40.54	$57.91	$79.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $557.88 / $846.46 / $1,619.17	Facility		$557.88	$846.46	$1,619.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $54.76 / $77.23	Professional		$36.92	$54.76	$77.23
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $57.96 / $91.07	Professional		$38.64	$57.96	$91.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $26.50 / $34.54	Professional		$25.47	$26.50	$34.54