Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $61.33 / $545.53	Facility		$31.69	$61.33	$545.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $38.11 / $98.57	Professional		$24.73	$38.11	$98.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.49 / $567.02 / $1,085.27	Facility		$110.49	$567.02	$1,085.27
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $5.03 / $11.05 / $11.05	Facility	AS	$5.03	$11.05	$11.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $66.34 / $268.44	Professional		$25.70	$66.34	$268.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $39.44 / $89.92	Professional		$23.10	$39.44	$89.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.13 / $60.00 / $110.61	Facility		$36.13	$60.00	$110.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $60.00 / $107.00	Professional		$36.47	$60.00	$107.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $99.99 / $175.76	Professional		$18.01	$99.99	$175.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $78.93 / $86.43	Facility		$48.24	$78.93	$86.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $43.47 / $56.63	Facility		$43.47	$43.47	$56.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $59.99 / $100.75	Professional		$35.04	$59.99	$100.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $42.28 / $74.15	Professional		$24.84	$42.28	$74.15
United Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $44.75 / $120.66	Professional		$40.28	$44.75	$120.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $25.54 / $48.03	Professional		$25.54	$25.54	$48.03