Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $47.53 / $74.83	Professional		$10.84	$47.53	$74.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $240.16 / $240.16	Facility		$70.78	$240.16	$240.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $107.54 / $379.20	Professional		$32.40	$107.54	$379.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $53.31 / $71.41	Professional		$7.82	$53.31	$71.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $50.56 / $134.62	Facility		$25.44	$50.56	$134.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $60.26 / $140.22	Professional		$31.84	$60.26	$140.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $55.61 / $75.00	Professional		$50.56	$55.61	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $50.56 / $75.84	Facility		$50.56	$50.56	$75.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $45.50 / $45.50	Professional		$45.50	$45.50	$45.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $89.79 / $107.54	Professional		$50.56	$89.79	$107.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $30.34 / $107.77	Professional		$30.34	$30.34	$107.77