Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $1,862.52 / $1,862.52	Facility		$17.29	$1,862.52	$1,862.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $17.29 / $17.29	Professional		$16.27	$17.29	$17.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $23.21 / $85.00	Facility		$12.64	$23.21	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $77.29 / $91.53	Professional		$77.29	$77.29	$91.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $65.95	Facility		$17.29	$17.29	$65.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $49.53 / $49.53	Facility		$49.53	$49.53	$49.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $14.38 / $30.53	Facility		$10.86	$14.38	$30.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $13.17 / $14.49	Facility		$13.17	$13.17	$14.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Professional		$16.95	$16.95	$16.95