Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $172.28 / $6,756.60	Facility		$64.09	$172.28	$6,756.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $116.32 / $208.88	Professional		$45.20	$116.32	$208.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $149.04 / $5,294.00	Facility		$50.27	$149.04	$5,294.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $97.41 / $704.68	Professional		$66.27	$97.41	$704.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $107.29 / $244.64	Professional		$65.30	$107.29	$244.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $127.40 / $343.39	Facility		$80.09	$127.40	$343.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $127.40 / $343.39	Professional		$80.09	$127.40	$343.39
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 $60.31 / $114.75 / $263.31	Facility		$60.31	$114.75	$263.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $50.27 / $149.04	Facility		$50.27	$50.27	$149.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $84.46 / $103.10	Professional		$53.60	$84.46	$103.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $73.48 / $152.00	Professional		$64.22	$73.48	$152.00
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 $61.04 / $173.95 / $309.49	Professional		$61.04	$173.95	$309.49