Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $24.65 / $38.81	Professional		$21.67	$24.65	$38.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $183.42 / $183.42	Facility		$121.00	$183.42	$183.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $83.09 / $307.52	Professional		$24.67	$83.09	$307.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $47.29 / $65.56	Professional		$23.78	$47.29	$65.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $44.64 / $115.34	Facility		$26.22	$44.64	$115.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $66.70 / $121.66	Professional		$26.22	$66.70	$121.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $23.34 / $27.81	Professional		$10.28	$23.34	$27.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $26.22 / $46.13	Facility		$26.22	$26.22	$46.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $26.22	Professional		$26.22	$26.22	$26.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $23.60	Professional		$23.60	$23.60	$23.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $79.34 / $92.81	Professional		$29.00	$79.34	$92.81
United Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $18.59 / $55.89	Professional		$15.73	$18.59	$55.89