Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Facility		$68.81	$68.81	$68.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $68.81 / $68.81	Professional		$64.76	$68.81	$68.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $42.92 / $321.04	Facility		$23.38	$42.92	$321.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $325.32 / $325.32 / $345.15	Professional		$325.32	$325.32	$345.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $137.62	Facility		$68.81	$68.81	$137.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $76.61 / $76.61	Facility		$76.61	$76.61	$76.61
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 $21.91 / $29.15 / $63.68	Facility		$21.91	$29.15	$63.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $29.17 / $32.09	Facility		$29.17	$29.17	$32.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $13.63 / $13.63	Professional		$13.63	$13.63	$13.63