Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $39.00 / $74.37	Professional		$32.19	$39.00	$74.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $131.72 / $309.02	Facility		$5.87	$131.72	$309.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $50.63 / $74.80	Professional		$45.02	$50.63	$74.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $56.64	Facility		$43.15	$43.15	$56.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.15 / $67.39	Professional		$36.68	$43.15	$67.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $64.84 / $64.84	Facility		$64.84	$64.84	$64.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $64.84 / $64.84	Professional		$64.84	$64.84	$64.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $60.25 / $66.27	Professional		$54.22	$60.25	$66.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.38 / $65.29 / $73.62	Facility		$64.38	$65.29	$73.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $64.84 / $73.62	Professional		$64.38	$64.84	$73.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $5.87 / $72.43	Facility		$5.87	$5.87	$72.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $53.53 / $72.43	Professional		$5.36	$53.53	$72.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $62.98 / $62.98	Facility		$62.98	$62.98	$62.98
United Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $32.60 / $61.38	Professional		$31.93	$32.60	$61.38