Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $39.67 / $58.04	Professional		$28.94	$39.67	$58.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $258.00 / $258.00 / $258.00	Professional	50	$258.00	$258.00	$258.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $48.47 / $143.82	Facility		$48.47	$48.47	$143.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $83.86 / $263.63	Professional		$43.43	$83.86	$263.63
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $48.11 / $56.01 / $86.28	Professional	50	$48.11	$56.01	$86.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $57.80 / $100.02	Professional		$31.42	$57.80	$100.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $50.96 / $82.62	Facility		$35.46	$50.96	$82.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $53.41 / $89.18	Professional		$36.49	$53.41	$89.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $51.42 / $92.27	Professional		$8.99	$51.42	$92.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $70.09 / $72.36	Facility		$51.39	$70.09	$72.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $48.47 / $48.47	Facility		$48.47	$48.47	$48.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $75.20 / $94.76	Professional		$48.82	$75.20	$94.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $63.18 / $88.47	Professional		$43.43	$63.18	$88.47
United Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $58.29 / $104.93	Professional		$41.33	$58.29	$104.93