Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $44.94 / $69.54	Professional		$30.72	$44.94	$69.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $109.04 / $207.37 / $207.37	Facility		$109.04	$207.37	$207.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $56.43 / $380.70	Professional		$40.61	$56.43	$380.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $67.30 / $149.76	Professional		$46.95	$67.30	$149.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $53.32 / $99.65	Facility		$41.85	$53.32	$99.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $53.32 / $99.65	Professional		$41.85	$53.32	$99.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $97.03 / $171.08	Professional		$17.68	$97.03	$171.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $107.90 / $116.68	Facility		$67.95	$107.90	$116.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $107.10 / $142.93	Professional		$39.52	$107.10	$142.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $46.58 / $56.43	Professional		$39.49	$46.58	$56.43
United Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $85.68 / $166.08	Professional		$34.50	$85.68	$166.08