Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $43.91 / $46.08	Professional		$36.61	$43.91	$46.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $85.00 / $175.59	Facility		$53.00	$85.00	$175.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $97.11 / $333.53	Professional		$53.21	$97.11	$333.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $54.89 / $75.27	Professional		$46.13	$54.89	$75.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $119.36 / $430.76 / $1,162.96	Facility		$119.36	$430.76	$1,162.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $117.93 / $117.93	Professional		$117.93	$117.93	$117.93
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 $22.02 / $30.90 / $35.83	Facility		$22.02	$30.90	$35.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $91.34 / $106.55	Professional		$60.78	$91.34	$106.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $73.17 / $97.11	Professional		$54.05	$73.17	$97.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $61.37 / $116.16	Professional		$37.72	$61.37	$116.16