Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $20.36 / $23.85	Professional		$20.30	$20.36	$23.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $120.51 / $120.51	Facility		$80.00	$120.51	$120.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $51.75 / $2,796.55	Professional		$22.83	$51.75	$2,796.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $29.05 / $38.65	Professional		$14.47	$29.05	$38.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $39.25 / $70.48	Facility		$22.94	$39.25	$70.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $41.76 / $75.31	Professional		$25.37	$41.76	$75.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $27.90 / $75.00	Professional		$25.37	$27.90	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $53.28	Facility		$25.37	$25.37	$53.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $22.83 / $22.83	Professional		$22.83	$22.83	$22.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $44.90 / $53.77	Professional		$25.37	$44.90	$53.77
United Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $15.22 / $39.49	Professional		$15.22	$15.22	$39.49