Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $65.80 / $87.07	Professional		$37.36	$65.80	$87.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.19 / $77.01 / $256.62	Facility		$48.19	$77.01	$256.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $112.58 / $624.00	Professional		$52.55	$112.58	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $85.90 / $125.21	Professional		$48.96	$85.90	$125.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.46 / $89.50 / $180.23	Facility		$62.46	$89.50	$180.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $94.95 / $155.62	Professional		$62.46	$94.95	$155.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $52.44 / $93.35	Professional		$9.02	$52.44	$93.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $103.72 / $121.72	Facility		$57.24	$103.72	$121.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.01 / $77.01 / $77.01	Facility		$77.01	$77.01	$77.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $97.45 / $144.72	Professional		$58.89	$97.45	$144.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $88.91 / $124.72	Professional		$73.63	$88.91	$124.72
United Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $87.36 / $158.47	Professional		$55.44	$87.36	$158.47