Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $56.68 / $81.40	Professional		$38.43	$56.68	$81.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $117.29 / $261.89 / $261.89	Facility		$117.29	$261.89	$261.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.30 / $481.65	Professional		$51.29	$69.30	$481.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $81.94 / $190.27	Professional		$58.78	$81.94	$190.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.39 / $65.72 / $122.58	Facility		$52.39	$65.72	$122.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $65.72 / $122.58	Professional		$52.39	$65.72	$122.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $97.05 / $171.08	Professional		$17.68	$97.05	$171.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.81 / $123.60 / $142.80	Facility		$82.81	$123.60	$142.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $136.44 / $176.17	Professional		$49.91	$136.44	$176.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $58.82 / $69.95	Professional		$49.95	$58.82	$69.95
United Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $102.49 / $201.40	Professional		$40.50	$102.49	$201.40