Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $88.53 / $151.68	Facility		$49.03	$88.53	$151.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $59.13 / $156.66	Professional		$41.57	$59.13	$156.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.05 / $209.54 / $499.81	Facility		$100.05	$209.54	$499.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $101.36 / $339.30	Professional		$56.45	$101.36	$339.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $83.63 / $153.72	Professional		$51.77	$83.63	$153.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $63.28 / $116.05	Facility		$41.28	$63.28	$116.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $63.24 / $114.55	Professional		$41.28	$63.24	$114.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $100.41 / $177.28	Professional		$18.91	$100.41	$177.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $99.45 / $109.88	Facility		$73.98	$99.45	$109.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $67.04 / $69.45	Facility		$67.04	$67.04	$69.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $92.95 / $127.33	Professional		$64.03	$92.95	$127.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $209.54 / $279.55 / $524.74	Facility		$209.54	$279.55	$524.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $78.53 / $112.21	Professional		$54.05	$78.53	$112.21
United Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $666.00 / $6,216.00	Facility		$107.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $85.28 / $154.46	Professional		$63.20	$85.28	$154.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $42.51 / $54.94	Professional		$41.52	$42.51	$54.94