Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $32.64 / $192.00	Professional		$27.38	$32.64	$192.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $85.00 / $133.19	Facility		$39.86	$85.00	$133.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $73.95 / $255.68	Professional		$40.02	$73.95	$255.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $39.78 / $42.86	Professional		$33.75	$39.78	$42.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $87.03 / $87.03	Professional		$87.03	$87.03	$87.03
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 $38.69 / $57.71 / $59.63	Facility		$38.69	$57.71	$59.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Facility		$39.86	$39.86	$39.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $70.08 / $81.05	Professional		$46.24	$70.08	$81.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $55.66 / $73.87	Professional		$40.65	$55.66	$73.87
United Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $46.28 / $87.96	Professional		$24.09	$46.28	$87.96