Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $26.24 / $26.24	Facility		$26.24	$26.24	$26.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $23.26 / $26.80	Professional		$15.24	$23.26	$26.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $87.42 / $87.42	Facility		$75.00	$87.42	$87.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $119.84 / $146.85	Professional		$33.24	$119.84	$146.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $26.58 / $26.58	Professional		$26.58	$26.58	$26.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $41.40 / $55.10	Facility		$22.51	$41.40	$55.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $38.75 / $55.10	Professional		$22.32	$38.75	$55.10
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 $21.98 / $32.72 / $34.17	Facility		$21.98	$32.72	$34.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $74.95 / $95.00	Professional		$74.95	$74.95	$95.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $115.00	Professional		$38.00	$38.00	$115.00