Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $37.71 / $45.34	Professional		$23.96	$37.71	$45.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $85.00 / $184.67	Facility		$51.64	$85.00	$184.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $94.73 / $350.48	Professional		$52.67	$94.73	$350.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $54.53 / $57.74	Professional		$54.53	$54.53	$57.74
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 $124.07 / $124.07 / $124.07	Professional		$124.07	$124.07	$124.07
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 $67.09 / $81.73 / $81.73	Facility		$67.09	$81.73	$81.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $51.64 / $51.64	Facility		$51.64	$51.64	$51.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $90.24 / $110.67	Professional		$60.94	$90.24	$110.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $71.30 / $100.63	Professional		$52.67	$71.30	$100.63
United Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $60.95 / $112.12	Professional		$44.64	$60.95	$112.12