Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $35.70 / $60.00	Professional		$29.48	$35.70	$60.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $85.00 / $157.44	Facility		$43.04	$85.00	$157.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $80.56 / $291.45	Professional		$41.05	$80.56	$291.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.00 / $47.80	Professional		$24.00	$30.00	$47.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $103.59 / $259.68	Facility		$34.57	$103.59	$259.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $100.95 / $100.95	Professional		$100.95	$100.95	$100.95
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 $30.14 / $40.19 / $44.45	Facility		$30.14	$40.19	$44.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $43.04 / $43.04	Facility		$43.04	$43.04	$43.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $75.98 / $91.62	Professional		$50.45	$75.98	$91.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $63.41 / $87.74	Professional		$43.89	$63.41	$87.74
United Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $37.45 / $87.81	Professional		$27.74	$37.45	$87.81