Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $64.68 / $130.51	Professional		$31.63	$64.68	$130.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $73.36 / $113.25 / $154.16	Facility		$73.36	$113.25	$154.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $154.53 / $539.48	Professional		$47.85	$154.53	$539.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $87.24 / $224.46	Professional		$37.11	$87.24	$224.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $81.16 / $177.54	Facility		$36.77	$81.16	$177.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $82.32 / $193.13	Professional		$37.61	$82.32	$193.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $156.05 / $277.09	Professional		$25.42	$156.05	$277.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $149.54 / $170.85	Facility		$63.92	$149.54	$170.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.60 / $105.63 / $219.63	Professional		$52.60	$105.63	$219.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $103.29 / $193.67	Professional		$43.43	$103.29	$193.67
United Facility/Professional Professional Modifier Low / Median / High Price $61.62 / $121.16 / $230.67	Professional		$61.62	$121.16	$230.67