Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $28.53 / $42.70	Professional		$20.18	$28.53	$42.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $131.69 / $131.69	Facility		$71.98	$131.69	$131.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $67.83 / $246.23	Professional		$34.31	$67.83	$246.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $29.33 / $38.00	Professional		$10.91	$29.33	$38.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $49.99 / $90.00	Facility		$26.04	$49.99	$90.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $49.99 / $75.31	Professional		$30.62	$49.99	$75.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.04 / $52.62 / $93.58	Professional		$9.04	$52.62	$93.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $50.25 / $57.62	Facility		$31.85	$50.25	$57.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $63.60 / $77.15	Professional		$38.96	$63.60	$77.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $51.40 / $66.56	Professional		$36.50	$51.40	$66.56
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $17.07 / $42.14	Professional		$16.23	$17.07	$42.14