Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $71.93 / $79.93	Professional		$62.48	$71.93	$79.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $91.05 / $302.75	Facility		$90.00	$91.05	$302.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $166.70 / $575.10	Professional		$91.40	$166.70	$575.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $94.64	Professional		$89.39	$89.39	$94.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $195.61 / $195.61	Professional		$195.61	$195.61	$195.61
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 $87.94 / $131.12 / $134.00	Facility		$87.94	$131.12	$134.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $91.05 / $91.05	Facility		$91.05	$91.05	$91.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $157.54 / $182.14	Professional		$103.90	$157.54	$182.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $125.08 / $166.00	Professional		$92.86	$125.08	$166.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $104.00 / $195.00	Professional		$48.52	$104.00	$195.00