Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $139.66 / $14,464.32	Facility		$66.48	$139.66	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $61.00 / $136.61	Professional		$35.92	$61.00	$136.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.18 / $1,061.33 / $2,159.90	Facility		$80.18	$1,061.33	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $123.00 / $1,042.04	Professional		$75.26	$123.00	$1,042.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $83.39 / $185.49	Professional		$47.79	$83.39	$185.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $80.18 / $152.35	Facility		$53.14	$80.18	$152.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $84.59 / $145.34	Professional		$53.50	$84.59	$145.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $101.83 / $176.59	Professional		$18.02	$101.83	$176.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $110.55 / $121.94	Facility		$74.26	$110.55	$121.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $80.18 / $83.17	Facility		$42.86	$80.18	$83.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $103.04 / $154.38	Professional		$70.69	$103.04	$154.38
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 $55.44 / $95.51 / $146.34	Professional		$55.44	$95.51	$146.34
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 $71.40 / $96.90 / $164.11	Professional		$71.40	$96.90	$164.11