Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $16.89 / $26.61	Professional		$14.34	$16.89	$26.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $85.41 / $100.00	Facility		$55.00	$85.41	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $39.20 / $134.85	Professional		$16.89	$39.20	$134.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $20.90 / $28.06	Professional		$10.44	$20.90	$28.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $28.77 / $55.47	Facility		$17.98	$28.77	$55.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $32.07 / $55.94	Professional		$17.98	$32.07	$55.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $26.97	Facility		$17.98	$17.98	$26.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $16.18 / $16.18	Professional		$16.18	$16.18	$16.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $31.98 / $38.21	Professional		$17.98	$31.98	$38.21
United Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $17.98 / $38.32	Professional		$10.79	$17.98	$38.32