Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $138.19 / $18,711.00	Facility		$58.79	$138.19	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $58.79 / $111.70	Professional		$41.96	$58.79	$111.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.62 / $130.62 / $130.62	Professional	50	$130.62	$130.62	$130.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,061.33 / $2,159.90	Facility		$55.00	$1,061.33	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $90.44 / $884.15	Professional		$52.67	$90.44	$884.15
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $71.81 / $109.31 / $162.00	Professional	50	$71.81	$109.31	$162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $77.09 / $119.75	Professional		$42.41	$77.09	$119.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $90.89 / $174.33	Facility		$64.15	$90.89	$174.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $90.89 / $151.52	Professional		$65.09	$90.89	$151.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $101.83 / $176.59	Professional		$18.01	$101.83	$176.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.66 / $77.52 / $133.33	Facility		$62.66	$77.52	$133.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $51.64 / $52.10	Facility		$32.74	$51.64	$52.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $81.42 / $100.91	Professional		$52.10	$81.42	$100.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.19 / $1,128.49 / $2,159.90	Facility		$732.19	$1,128.49	$2,159.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $73.80 / $108.81	Professional		$48.51	$73.80	$108.81
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 $57.20 / $80.38 / $115.65	Professional		$57.20	$80.38	$115.65