Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $25.98 / $40.90	Professional		$10.07	$25.98	$40.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $131.29 / $131.29	Facility		$55.00	$131.29	$131.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $60.26 / $207.30	Professional		$20.73	$60.26	$207.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $30.84 / $39.28	Professional		$7.27	$30.84	$39.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $29.81 / $73.73	Facility		$22.00	$29.81	$73.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $34.76 / $76.55	Professional		$22.11	$34.76	$76.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $30.40 / $75.00	Professional		$27.64	$30.40	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $41.46	Facility		$27.64	$27.64	$41.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $24.88 / $24.88	Professional		$24.88	$24.88	$24.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $49.20 / $58.72	Professional		$27.64	$49.20	$58.72
United Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $56.39	Professional		$16.57	$16.57	$56.39