Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.22 / $104.91 / $159.46	Facility		$76.22	$104.91	$159.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $73.73 / $151.22	Professional		$49.18	$73.73	$151.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $69.01 / $99.75 / $5,294.00	Facility		$69.01	$99.75	$5,294.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $120.32 / $558.82	Professional		$78.54	$120.32	$558.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $104.24 / $150.88	Professional		$76.77	$104.24	$150.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $117.40 / $145.60	Facility		$54.56	$117.40	$145.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $117.40 / $145.63	Professional		$70.87	$117.40	$145.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $53.38 / $86.03	Professional		$8.78	$53.38	$86.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $97.01 / $113.90	Facility		$82.37	$97.01	$113.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.01 / $69.01 / $77.01	Facility		$69.01	$69.01	$77.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $115.66 / $138.43	Professional		$73.40	$115.66	$138.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $99.27 / $133.71	Professional		$78.54	$99.27	$133.71
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $107.18 / $162.63	Professional		$73.48	$107.18	$162.63