Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $136.08 / $20,680.40	Facility		$26.45	$136.08	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $42.48 / $71.06	Professional		$26.45	$42.48	$71.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $87.22 / $169.72	Facility		$69.76	$87.22	$169.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $100.73 / $327.13	Professional		$56.20	$100.73	$327.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $46.42 / $46.42	Professional		$46.42	$46.42	$46.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.78 / $75.04 / $122.47	Facility		$45.78	$75.04	$122.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $78.51 / $126.08	Professional		$48.36	$78.51	$126.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $111.35 / $181.04	Professional		$17.14	$111.35	$181.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $95.81 / $105.19	Facility		$58.56	$95.81	$105.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $69.76 / $71.75	Facility		$69.76	$69.76	$71.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $85.73 / $131.69	Professional		$56.90	$85.73	$131.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $78.11 / $119.24	Professional		$53.85	$78.11	$119.24
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $100.32 / $152.54	Professional		$62.92	$100.32	$152.54