Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.18 / $36.20	Professional		$17.71	$24.18	$36.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $29.45 / $84.75	Facility		$27.52	$29.45	$84.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $50.04 / $152.47	Professional		$25.41	$50.04	$152.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $22.04 / $22.04	Facility		$22.04	$22.04	$22.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $32.57 / $61.39	Professional		$18.37	$32.57	$61.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $27.79 / $47.54	Facility		$18.36	$27.79	$47.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $29.43 / $52.96	Professional		$18.63	$29.43	$52.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $12.68 / $14.63	Professional		$10.84	$12.68	$14.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $41.27 / $43.55	Facility		$27.14	$41.27	$43.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $29.45 / $29.45	Facility		$29.45	$29.45	$29.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $43.63 / $57.57	Professional		$29.71	$43.63	$57.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $36.65 / $50.47	Professional		$25.41	$36.65	$50.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $32.67 / $63.26	Professional		$21.03	$32.67	$63.26