Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $60.45 / $107.15	Professional		$45.05	$60.45	$107.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $192.22 / $433.65	Facility		$8.36	$192.22	$433.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $72.98 / $114.90	Professional		$63.83	$72.98	$114.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $79.36	Facility		$64.23	$64.23	$79.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $111.00	Professional		$54.60	$54.60	$111.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $88.93 / $88.93	Facility		$88.93	$88.93	$88.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $88.93	Professional		$88.93	$88.93	$88.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $86.05 / $105.18	Professional		$75.00	$86.05	$105.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $90.10 / $115.92	Facility		$88.93	$90.10	$115.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $90.10 / $115.92	Professional		$88.93	$90.10	$115.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $83.61 / $83.61	Facility		$8.36	$83.61	$83.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $73.39 / $168.57	Professional		$7.34	$73.39	$168.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $86.34 / $86.34	Facility		$86.34	$86.34	$86.34
United Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $48.77 / $89.85	Professional		$46.76	$48.77	$89.85