Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $23.35 / $39.59	Professional		$15.78	$23.35	$39.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.15 / $102.96 / $102.96	Facility		$58.15	$102.96	$102.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $30.69 / $198.13	Professional		$20.49	$30.69	$198.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $35.51 / $76.29	Professional		$23.64	$35.51	$76.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $28.52 / $59.20	Facility		$21.08	$28.52	$59.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $28.52 / $53.46	Professional		$21.08	$28.52	$53.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $14.38 / $20.15	Professional		$11.58	$14.38	$20.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $57.20 / $62.98	Facility		$36.97	$57.20	$62.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $54.74 / $77.28	Professional		$19.62	$54.74	$77.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $24.79 / $30.69	Professional		$20.04	$24.79	$30.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $45.39 / $89.81	Professional		$20.49	$45.39	$89.81