Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $77.00	Professional		$70.00	$70.00	$77.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.18 / $254.31 / $254.31	Facility		$79.18	$254.31	$254.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $259.38 / $416.85	Professional		$71.63	$259.38	$416.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $71.03 / $92.81	Facility		$37.11	$71.03	$92.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $71.03 / $92.81	Professional		$34.65	$71.03	$92.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.80 / $95.74 / $97.15	Facility		$63.80	$95.74	$97.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $296.08 / $299.00	Professional		$296.08	$296.08	$299.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $184.00	Professional		$180.00	$180.00	$184.00