Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $41.97 / $49.62	Professional		$27.90	$41.97	$49.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $90.00 / $201.33	Facility		$57.08	$90.00	$201.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $103.88 / $363.08	Professional		$56.32	$103.88	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $59.06 / $91.39	Professional		$47.25	$59.06	$91.39
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 $127.89 / $127.89 / $127.89	Professional		$127.89	$127.89	$127.89
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 $29.55 / $42.22 / $45.18	Facility		$29.55	$42.22	$45.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $57.08 / $57.08	Facility		$57.08	$57.08	$57.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $98.95 / $123.51	Professional		$64.94	$98.95	$123.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $78.18 / $109.70	Professional		$58.21	$78.18	$109.70
United Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $73.84 / $135.22	Professional		$48.03	$73.84	$135.22