Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $32.43 / $44.00	Professional		$26.56	$32.43	$44.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $85.00 / $161.97	Facility		$43.94	$85.00	$161.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $76.16 / $293.77	Professional		$44.12	$76.16	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $48.27 / $49.05	Professional		$38.63	$48.27	$49.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $100.59 / $259.68	Facility		$34.57	$100.59	$259.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $103.48 / $103.48	Professional		$103.48	$103.48	$103.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $68.34 / $68.34	Facility		$56.10	$68.34	$68.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $43.94 / $43.94	Facility		$43.94	$43.94	$43.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $73.05 / $92.52	Professional		$50.95	$73.05	$92.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $60.04 / $79.68	Professional		$44.81	$60.04	$79.68
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $39.11 / $90.56	Professional		$27.25	$39.11	$90.56