Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $125.69 / $14,464.32	Facility		$43.80	$125.69	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $45.28 / $99.54	Professional		$34.28	$45.28	$99.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.00 / $165.00 / $333.00	Professional	50	$165.00	$165.00	$333.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $361.80 / $706.71	Facility		$55.00	$361.80	$706.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $75.27 / $830.02	Professional		$41.04	$75.27	$830.02
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $67.91 / $86.58 / $124.50	Professional	50	$67.91	$86.58	$124.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $61.67 / $96.09	Professional		$34.77	$61.67	$96.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $74.25 / $138.68	Facility		$53.00	$74.25	$138.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $73.73 / $124.74	Professional		$53.47	$73.73	$124.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $18.09 / $27.45	Professional		$1.83	$18.09	$27.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $59.22 / $109.48	Facility		$46.71	$59.22	$109.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $38.51 / $38.85	Facility		$25.46	$38.51	$38.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $61.49 / $79.67	Professional		$39.29	$61.49	$79.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $57.41 / $93.40	Professional		$39.27	$57.41	$93.40
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $63.76 / $94.22	Professional		$46.63	$63.76	$94.22