Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $82.93 / $100.84	Professional		$44.62	$82.93	$100.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $68.12 / $153.78 / $363.31	Facility		$68.12	$153.78	$363.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $170.95 / $673.65	Professional		$69.69	$170.95	$673.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $79.89 / $79.89	Facility		$79.89	$79.89	$79.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $103.24 / $238.36	Professional		$40.95	$103.24	$238.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.58 / $78.75 / $162.19	Facility		$39.58	$78.75	$162.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $83.18 / $183.70	Professional		$42.88	$83.18	$183.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $103.37 / $186.70	Professional		$17.95	$103.37	$186.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $117.12 / $154.77	Facility		$57.33	$117.12	$154.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.51 / $91.51 / $91.51	Facility		$91.51	$91.51	$91.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $172.90 / $209.54	Professional		$115.38	$172.90	$209.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $77.09 / $145.96	Professional		$69.69	$77.09	$145.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $95.67 / $208.04	Professional		$48.45	$95.67	$208.04