Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $5,128.00 / $22,024.00	Facility		$30.85	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $53.37 / $130.04	Professional		$18.37	$53.37	$130.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $105.43 / $112.80	Facility		$50.00	$105.43	$112.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $135.65 / $537.69	Professional		$34.36	$135.65	$537.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $59.90 / $188.55	Facility		$27.57	$59.90	$188.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $58.11 / $170.46	Professional		$25.51	$58.11	$170.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $161.91 / $281.65	Professional		$27.75	$161.91	$281.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $138.60 / $169.51	Facility		$74.67	$138.60	$169.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $112.80 / $112.80	Facility		$112.80	$112.80	$112.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $99.38 / $214.32	Professional		$36.17	$99.38	$214.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $515.91 / $567.35 / $721.88	Facility		$515.91	$567.35	$721.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $69.22 / $188.54	Professional		$31.84	$69.22	$188.54
United Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $121.68 / $241.38	Professional		$67.26	$121.68	$241.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $95.16	Professional		$68.73	$68.73	$95.16