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 $27.40 / $70.00 / $92.39	Professional		$27.40	$70.00	$92.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $119.59 / $284.16 / $284.16	Facility		$119.59	$284.16	$284.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $355.23 / $380.66	Professional		$84.05	$355.23	$380.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $128.00 / $196.11	Facility		$73.16	$128.00	$196.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $120.68 / $190.69	Professional		$70.70	$120.68	$190.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $59.04 / $60.30	Facility		$42.04	$59.04	$60.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $85.81 / $85.81	Professional		$59.00	$85.81	$85.81
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $125.00	Professional		$100.00	$100.00	$125.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00