Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $161.56 / $14,464.32	Facility		$92.98	$161.56	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $80.04 / $150.28	Professional		$53.71	$80.04	$150.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $817.17 / $817.17	Facility		$55.00	$817.17	$817.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $128.15 / $1,826.96	Professional		$79.52	$128.15	$1,826.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $104.08 / $175.02	Professional		$61.13	$104.08	$175.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $115.92 / $152.08	Facility		$55.69	$115.92	$152.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $116.00 / $156.72	Professional		$55.69	$116.00	$156.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.24 / $106.67 / $180.52	Professional		$18.24	$106.67	$180.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $113.66 / $120.60	Facility		$84.79	$113.66	$120.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $79.28 / $79.52	Facility		$79.28	$79.28	$79.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $121.37 / $157.84	Professional		$79.52	$121.37	$157.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $111.38 / $147.15	Professional		$80.84	$111.38	$147.15
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $108.90 / $177.88	Professional		$65.73	$108.90	$177.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $55.48 / $62.98	Professional		$55.48	$55.48	$62.98