Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $48.64 / $79.25	Professional		$36.68	$48.64	$79.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $71.22 / $210.41 / $210.41	Facility		$71.22	$210.41	$210.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $122.29 / $390.68	Professional		$66.06	$122.29	$390.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $53.30 / $70.12	Professional		$24.97	$53.30	$70.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.74 / $77.00 / $135.59	Facility		$47.74	$77.00	$135.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $80.16 / $135.59	Professional		$47.78	$80.16	$135.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $106.46 / $185.15	Professional		$18.01	$106.46	$185.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.94 / $103.65 / $105.86	Facility		$64.94	$103.65	$105.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $110.24 / $136.38	Professional		$66.30	$110.24	$136.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $91.07 / $111.79	Professional		$64.22	$91.07	$111.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $47.24 / $113.39	Professional		$33.08	$47.24	$113.39