Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $59.22 / $1,507.29	Facility		$45.45	$59.22	$1,507.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $53.99 / $117.53	Professional		$37.60	$53.99	$117.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $80.00 / $5,294.00	Facility		$36.10	$80.00	$5,294.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $65.56 / $433.89	Professional		$42.87	$65.56	$433.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $70.92 / $90.59	Professional		$48.48	$70.92	$90.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $90.67 / $110.23	Facility		$42.47	$90.67	$110.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $87.42 / $112.84	Professional		$55.17	$87.42	$112.84
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 $43.45 / $62.23 / $88.44	Facility		$43.45	$62.23	$88.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $36.10 / $61.61	Facility		$36.10	$36.10	$61.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $60.11 / $71.95	Professional		$38.15	$60.11	$71.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $54.67 / $70.95	Professional		$42.54	$54.67	$70.95
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 $51.60 / $68.14 / $110.20	Professional		$51.60	$68.14	$110.20