Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $96.16 / $18,711.00	Facility		$62.33	$96.16	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $40.58 / $76.90	Professional		$30.03	$40.58	$76.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $1,058.36 / $2,159.90	Facility		$55.27	$1,058.36	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $87.67 / $821.00	Professional		$55.67	$87.67	$821.00
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $81.50 / $124.28 / $183.00	Professional	50	$81.50	$124.28	$183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $61.77 / $125.22	Professional		$38.79	$61.77	$125.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $59.40 / $105.36	Facility		$42.24	$59.40	$105.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $62.59 / $104.06	Professional		$42.44	$62.59	$104.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $50.46 / $90.11	Professional		$9.08	$50.46	$90.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $78.39 / $83.08	Facility		$56.69	$78.39	$83.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $55.27 / $56.67	Facility		$20.61	$55.27	$56.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $79.16 / $105.54	Professional		$54.26	$79.16	$105.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $524.23 / $1,104.08 / $2,159.90	Facility		$524.23	$1,104.08	$2,159.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $76.83 / $103.68	Professional		$45.74	$76.83	$103.68
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $361.83 / $1,875.00	Facility		$118.00	$361.83	$1,875.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $65.36 / $117.82	Professional		$49.98	$65.36	$117.82