Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $39.69 / $62.49	Professional		$10.07	$39.69	$62.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $200.55 / $200.55	Facility		$67.55	$200.55	$200.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $86.62 / $468.52	Professional		$35.89	$86.62	$468.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $44.66 / $59.68	Professional		$7.27	$44.66	$59.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $42.22 / $112.33	Facility		$23.52	$42.22	$112.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $50.07 / $116.73	Professional		$29.81	$50.07	$116.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $46.44 / $75.00	Professional		$42.22	$46.44	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.22 / $42.22 / $66.63	Facility		$42.22	$42.22	$66.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Professional		$38.00	$38.00	$38.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $75.03 / $89.85	Professional		$42.22	$75.03	$89.85
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $65.72	Professional		$25.33	$25.33	$65.72